Shannon Baker Easingwood
Physical Therapy Assistant
101 Brightwater Dr
Myrtle Beach
, South Carolina 29579-8275
Shannon Baker Easingwood
Physical Therapy Assistant
101 Brightwater Dr
Myrtle Beach
, South Carolina 29579-8275
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Shannon Baker Easingwood
- 223 Maison Dr Unit 8 Box 32
- Myrtle Beach, SC
- Zip : 29572
- Phone :
Second Address
- Shannon Baker Easingwood
- 101 Brightwater Dr
- Myrtle Beach, SC
- Zip : 29579-8275
- Phone : (843) 903-8300
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4530 | SC |
National Provider Identifier
| NPI | 1003404583 |
|---|---|
| Provider Name | Shannon Baker Easingwood |
| First Address | Myrtle Beach, SC 29572 |
| Second Address | Myrtle Beach, SC 29579-8275 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.