Individual
SHANNON RENA AYERS
Active
Individual
SHANNON RENA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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
Update your record
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