Individual
SHANNON RENA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
450 E. LOOP 281, SUITE B1, LONGVIEW, TX 75601
(903) 757-7731
(903) 757-3756
Mailing address
450 E. LOOP 281, SUITE B1, LONGVIEW, TX 75601
(903) 757-7731
(903) 757-3756
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
1228752
TX
2251P0200X
Pediatric Physical Therapist
Primary
3537
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194886721
—
AR
Enumeration date
08/13/2013
Last updated
07/25/2018
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