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Susan Shanks West, PT
Pediatric Physical Therapist in Kingsport, Tennessee
NPI 1376676635

Susan Shanks West is a Pediatric Physical Therapist based in Gray, TN and is specialized in Pediatrics. Susan Shanks West practices in Kingsport, TN and has the professional credentials of PT. The NPI Number for Susan Shanks West is 1376676635 and holds a License No. 1163 (Tennessee).

The current practice location address for Susan Shanks West is 2971 Fort Henry Dr, Kingsport, TN and can be reached out via phone at 423-230-8456 and via fax at 423-230-8496. You can also correspond with Susan Shanks West through the mailing address at 116 LAZY LN, GRAY, TN - 37615-4272 (mailing address contact number: 423-477-3090).

Location: 2971 Fort Henry Dr, Kingsport, TN, 37615-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376676635
Provider Name
Susan Shanks West
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2971 Fort Henry Dr, Kingsport, TN, 37615-4272
Phone Number
423-230-8456
Fax Number
423-230-8496
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2971 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37664-4005
Phone Number
423-230-8456
Fax Number
423-230-8496
person
Provider Business Mailing Address Details
Address
2971 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37664-4005
Phone Number
423-230-8456
Fax Number
423-230-8496
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1163 (Tennessee)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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