Shantay Anderson
Shantay Anderson is a Physical Therapy Assistant in Pocatello, Idaho. Licensed in Idaho and Utah. Registered with an NPI since 2020.
- Licensed in
- ID, UT
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
527 Memorial DrPocatello, ID 83201-4063
Phone: (208) 478-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA-6180 (ID) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 11433285-2402 (UT) |
Record details
| NPI number | 1942829205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 15, 2020 |
| Last updated in NPPES | April 15, 2020 |
| Certification date | April 15, 2020 |
| Mailing address | 5277 Stuart Ave, Pocatello, ID 83202-2201 |
Other providers in Pocatello
-
Bryttnie Meagan Adams, PTA
2364 N Apple Ln, Pocatello, ID 83204-7231 · (903) 875-5408
-
Kellie R Armstrong, PTA
1800 Flandro Dr Ste 190, Pocatello, ID 83202-4912 · (208) 233-2248
-
Chess Carbol
1578 Mountain Shadow Dr, Pocatello, ID 83204-5041 · (208) 220-1369
-
Amber Denise Corrington, PTA
1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 · (208) 233-2248
-
Malynda Duern, PTA
527 Memorial Dr, Pocatello, ID 83201-4063 · (208) 478-3333