Most Relevant Information
Provider Data
| NPI Number: | 1003475369 |
| Provider Name: | SHANNON R ESCARRA PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT013997 |
Most Important Dates
| Enumeration Date: | 06/11/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
2097 N DECATUR RD
DECATUR
GA
300335305
Practice Location Phone/Fax
| Phone: | 4046347171 |
| Fax: | 4046347176 |
Provider Mailing Location
6397 LEE HWY STE 300
CHATTANOOGA
TN
374214915
Provider Mailing Phone/Fax
| Phone: | 4232387217 |
| Fax: | 4232383473 |