NPI 1104609593
Shavaughn E Elkins, MSRLSCTRS
Practice location
- Address
- 650 E Indian School Rd, Phoenix, AZ 85012-1839
- Phone
- (602) 277-5551
- Mailing address
- 19456 W Woodlands Ave, Buckeye, AZ 85326-5886
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1104609593
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Aug 2023
- Record last updated
- 17 Aug 2023
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.