Individual provider · Type 1 NPI
Nathan R. Shields, P.T.
Clinical Electrophysiology Physical Therapist · Wasilla, AK
Practice location
3066 E Meridian Park Loop Ste 101
Wasilla, AK 99654
Fax (907) 205-5948
Mailing address
PO Box 873895
Wasilla, AK 99687-3895
Other practice locations
- 3930 S. Alma School Rd.,, #3, Chandler, AZ 85248-4510 · (480) 899-9829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 5063 (AZ) |
| Clinical Electrophysiology Physical Therapist Primary | 2251E1300X | 109306 (AK) |
Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…
About NPI 1861466484
Nathan R. Shields, P.T.'s National Provider Identifier is 1861466484, issued on Feb 13, 2006. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in Wasilla, AK. The record was last updated on Sep 18, 2018.