Individual provider · Type 1 NPI

Tatum Layne Shive

Rehabilitation Practitioner · San Diego, CA

NPI number 1427887983 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1427887983

Tatum Layne Shive's National Provider Identifier is 1427887983, issued on Jul 31, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Aug 18, 2026.