Shantay Anderson

NPI #1942829205 in Pocatello, Idaho

Provider Information

NPI Number: 1942829205
Entity Type: Individual
Name: Shantay Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 15, 2020
Last Updated: Apr 15, 2020

Practice Location

Address: 527 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4063
Phone: (208) 478-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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