Shane Edward Mccomas

NPI #1407297393 in Park Rapids, Minnesota

Provider Information

NPI Number: 1407297393
Entity Type: Individual
Name: Shane Edward Mccomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 9, 2013
Last Updated: Jul 9, 2013

Practice Location

Address: 200 MAIN AVE S
City: Park Rapids
State: Minnesota
ZIP Code: 56470-1518
Phone: (218) 732-0868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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