Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shawn Rueze Hackley, PT

Individual provider Physical Therapist · NPI 1295923233

Mr. Shawn Rueze Hackley, PT is a Physical Therapist in Fort Bragg, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

501 Cypress St
Fort Bragg, CA 95437-5429
Phone: (707) 961-6191
Fax: (707) 964-6213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18661 Old Coast Hwy, Fort Bragg, CA 95437-8260 — (707) 961-6191

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT14615 (CA)

Record details

NPI number1295923233
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESDecember 28, 2018
Mailing address31740 Cedar St, Fort Bragg, CA 95437-3922

Other providers in Fort Bragg