Individual provider · Type 1 NPI

Shelby Noelle Bodine

Physical Therapy Assistant · Shawnee, OK

NPI number 1740057900 Active

Practice location

412 N Broadway Ave
Shawnee, OK 74801-6922

Mailing address

1501 Pastusek Ave, 6102 Nbu
Prague, OK 74864

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3513 (OK)

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 1740057900

Shelby Noelle Bodine's National Provider Identifier is 1740057900, issued on Dec 7, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shawnee, OK. The record was last updated on Dec 7, 2023.