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NPI Code Detail

MEDICARE: SHENDRA D THORPE PT

MEDICARE: SHENDRA D THORPE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4109OR

General Provider Information

NPI Number : 1912053083
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENDRA D THORPE PT
Provider Business Mailing Address
First Line : 304 MONTELLO AVE
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-2149
Country : US
Telephone Number : 541-490-7583
Fax Number :
Provider Business Practice Location Address
First Line : 2002 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9543
Country : US
Telephone Number : 541-386-1211
Fax Number : 541-386-7211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 07/08/2007

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Directions to “ SHENDRA D THORPE PT” Practice Location

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