Individual provider · Type 1 NPI

Shawnery Davidson, PTA

Physical Therapy Assistant · Granite City, IL

NPI number 1801244710 Active

Practice location

5408 Maryville Rd
Granite City, IL 62040-2611

Fax (708) 479-2112

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160002824 (IL)

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 1801244710

Shawnery Davidson, PTA's National Provider Identifier is 1801244710, issued on Jun 1, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Granite City, IL. The record was last updated on Jun 1, 2016.