NPI 1003066853

Shane Marlon Pederson, PT

Practitioner Physical Therapist Palmhurst, TX

Practice location

Address: 123 West Mile 3 Road Suite A-103, Palmhurst, TX 78573
Phone: (956) 585-9889
Fax: (956) 585-9896

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1155757 (TX)

Other Physical Therapist providers in Texas →

Registry record

NPI: 1003066853
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2008
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.