Most Relevant Information
Provider Data
| NPI Number: | 1003066457 |
| Provider Name: | SHAYNE MARIE WHITE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2551 |
Most Important Dates
| Enumeration Date: | 09/23/2008 |
| Last Updated: | 01/21/2011 |
Provider Practice Location
16405 NORTHCROSS DR STE G2
HUNTERSVILLE
NC
280785005
Practice Location Phone/Fax
| Phone: | 8883306907 |
| Fax: |
Provider Mailing Location
100 ARBOR SPRINGS DR
TAYLORSVILLE
NC
286813374
Provider Mailing Phone/Fax
| Phone: | 8285980014 |
| Fax: |