NPI 1003404583

Shannon Baker Easingwood, PTA

Practitioner Physical Therapy Assistant Myrtle Beach, SC

Practice location

Address: 101 Brightwater Dr, Myrtle Beach, SC 29579-8275
Phone: (843) 903-8300
Mailing address: 223 Maison Dr Unit 8 Box 32, Myrtle Beach, SC 29572

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4530 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1003404583
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2021
Record last updated: 9 Jan 2021

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.