Shawn D Axten, PT,CST-D
Clinic/Center, Physical Therapy in Bend, OR. Individual provider (NPI-1).
NPI number1922158377
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1922158377
- Entity type
- Individual (NPI-1)
- Name
- Shawn D Axten
- Credential
- PT,CST-D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2007
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 01557 | OR | Yes |
| 2081P0010X | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | WAPT0000574 | WA |
Practice location
20360 Empire Ave # B-9aBend, OR 97703-5709
Phone 360-607-7226 · Fax 541-706-9330
Mailing address
Po Box 444Bend, OR 97709-0444
Phone 360-607-7226 · Fax 541-706-9330
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All 27 Physical Therapy Clinic/Center providers in Bend · All 6,654 providers in Bend
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