Individual provider · Type 1 NPI

Lane Marty Shockman, PTA

Physical Therapy Assistant · Hermiston, OR

NPI number 1487100376 Active

Practice location

600 NW 11th St, Suite E31
Hermiston, OR 97838-8605

Call (541) 667-3657 Map

Fax (541) 667-3659

Mailing address

600 N.w 11th, Suite E31
Hermiston, OR 97838

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09190 (OR)

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 1487100376

Lane Marty Shockman, PTA's National Provider Identifier is 1487100376, issued on Aug 30, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Hermiston, OR. The record was last updated on Aug 30, 2016.