Individual
MR. SHAWN GLENN MOEHRING
Active
Individual
MR. SHAWN GLENN MOEHRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, DIP. MDT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1075
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-1075
PHYSICAL THERAPY LICENSE
ID
Enumeration date
05/19/2009
Last updated
08/12/2026
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