Individual
SHAYNA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36413 WARREN RD, WESTLAND, MI 48185-3839
(734) 331-9087
Mailing address
2276 7TH ST, WYANDOTTE, MI 48192-4316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006267
MI
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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