Individual provider · Type 1 NPI

Susan Shanks West, PT

Pediatric Physical Therapist · Kingsport, TN

NPI number 1376676635 Active

Practice location

2971 Fort Henry Dr
Kingsport, TN 37664-4005

Fax (423) 230-8496

Mailing address

116 Lazy Ln
Gray, TN 37615-4272

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1163 (TN)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

14 other providers at this address

About NPI 1376676635

Susan Shanks West, PT's National Provider Identifier is 1376676635, issued on Mar 14, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Kingsport, TN. The record was last updated on Jul 8, 2007.