Individual
DR. SHAWN MICHAEL HARRAHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3327
(402) 354-8980
(402) 354-8992
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004610
IA
225100000X
Physical Therapist
Primary
2879
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025895900
—
NE
05
—
10025896000
—
NE
05
—
10025896100
—
NE
05
—
10025941700
—
NE
05
—
10026056700
—
NE
05
—
10026252200
—
NE
05
—
1629380811
—
IA
Enumeration date
07/05/2010
Last updated
01/16/2015
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