Keagan Scott Shillington, DPT

NPI #1083249197 in Rathdrum, Idaho

Provider Information

NPI Number: 1083249197
Entity Type: Individual
Name: Keagan Scott Shillington, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 9, 2020
Last Updated: Mar 9, 2020

Practice Location

Address: 14775 N KIMO CT STE A
City: Rathdrum
State: Idaho
ZIP Code: 83858-8762
Phone: (208) 687-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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