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Shanna Mott

Physical Therapy Assistant in Tyler, TX. Individual provider (NPI-1).

NPI number1710694575
StatusActive
Last updated in NPPESNov 1, 2022

Details

NPI
1710694575
Entity type
Individual (NPI-1)
Name
Shanna Mott
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2022
Certification date
Nov 1, 2022
Last updated
Nov 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2052639TXYes

Practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone 903-525-3995 · Fax 903-525-3858

Mailing address

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone 903-525-3995 · Fax 903-525-3858

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