Individual
SHAWN NEAL BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1216 HILLCREST DR, SHERMAN, TX 75092-5507
(903) 893-7457
(903) 893-6671
Mailing address
1216 HILLCREST DR, SHERMAN, TX 75092
(903) 893-7457
(903) 893-6671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2068903
TX
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
2068903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068903
PTA LICENCE
TX
Enumeration date
09/09/2009
Last updated
09/09/2009
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