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

Shavaughn E Elkins, MSRLS-CTRS

Individual provider Recreation Therapist · NPI 1104609593

Shavaughn E Elkins, MSRLS-CTRS is a Recreation Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X (AZ)

Record details

NPI number1104609593
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRLS-CTRS
Sole proprietorYes
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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