Individual provider · Type 1 NPI

Shannon Baker Easingwood, PTA

Physical Therapy Assistant · Myrtle Beach, SC

NPI number 1003404583 Active

Practice location

101 Brightwater Dr
Myrtle Beach, SC 29579-8275

Call (843) 903-8300 Map

Mailing address

223 Maison Dr Unit 8 Box 32
Myrtle Beach, SC 29572

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4530 (SC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003404583

Shannon Baker Easingwood, PTA's National Provider Identifier is 1003404583, issued on Jan 9, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 9, 2021.