Individual
SHAUNA CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3301 KNOLLWOOD DR BLDG 4, MOBILE, AL 36693-7003
(251) 662-2667
(251) 662-2669
Mailing address
251 JOHNSTON ST SE STE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH1246
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
10/17/2014
Last updated
03/30/2015
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