MR. Shawn Rueze Hackley, P.T.

NPI #1295923233 in Fort Bragg, California

Provider Information

NPI Number: 1295923233
Entity Type: Individual
Name: MR. Shawn Rueze Hackley, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 3, 2007
Last Updated: Dec 28, 2018

Practice Location

Address: 501 CYPRESS ST
City: Fort Bragg
State: California
ZIP Code: 95437-5429
Phone: (707) 961-6191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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