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NPI Code Detail

MEDICARE: SHAWN W HAWKINS

MEDICARE:   SHAWN W HAWKINS
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 Therapist5343493-2401UT

General Provider Information

NPI Number : 1023071511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN W HAWKINS
Provider Business Mailing Address
First Line : 250 W 300 N
Second Line :
City : ROOSEVELT
State : UT
Zip : 84066-2336
Country : US
Telephone Number : 435-722-6163
Fax Number : 435-722-9291
Provider Business Practice Location Address
First Line : 250 W 300 N
Second Line :
City : ROOSEVELT
State : UT
Zip : 84066-2336
Country : US
Telephone Number : 435-722-6163
Fax Number : 435-722-9291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/08/2007

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Directions to “ SHAWN W HAWKINS ” Practice Location

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