MR. William Shannon Merrick, PT, ATC

NPI #1720115405 in Lutz, Florida

Provider Information

NPI Number: 1720115405
Entity Type: Individual
Name: MR. William Shannon Merrick, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, ATC
Enumeration Date: Feb 28, 2007
Last Updated: Jul 10, 2017

Practice Location

Address: 21756 STATE ROAD 54
Address 2: STE 102
City: Lutz
State: Florida
ZIP Code: 33549-2905
Phone: (813) 279-6234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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