DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHIRLEEAH FAYSON AT

MEDICARE: SHIRLEEAH FAYSON AT
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
12255A2300XAthletic Trainer1197AZ

General Provider Information

NPI Number : 1780093278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEEAH FAYSON AT
Provider Business Mailing Address
First Line : 7311 E SOUTHERN AVE
Second Line : APT. 3052
City : MESA
State : AZ
Zip : 85209-2701
Country : US
Telephone Number : 302-650-9410
Fax Number :
Provider Business Practice Location Address
First Line : 4710 N 5TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-1738
Country : US
Telephone Number : 602-277-3772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2014
Last Update Date : 08/08/2014

Similar Medicare Providers

1033181714 — MICHELLE SUSAN VARNELL ATC
Practice Location Address:
4710 N 5TH ST
PHOENIX, AZ
85012-1738
Practice Phone: 602-240-3119
Practice Fax:
1912453689 — RENATA ODONGO AT,CKTP. CGT
Practice Location Address:
4710 N 5TH ST
PHOENIX, AZ
85012-1738
Practice Phone: 816-262-1979
Practice Fax:
1912462730 — LITHANY DEVONTENNO MS, LAT, ATC
Practice Location Address:
4710 N 5TH ST
PHOENIX, AZ
85012-1738
Practice Phone: 505-410-6848
Practice Fax:
1003378175 — HANNAH NICOLE GRAY ATC
Practice Location Address:
4710 N 5TH ST
PHOENIX, AZ
85012-1738
Practice Phone: 269-823-8188
Practice Fax:
1811533094 — LAURIE MCKENZIE WHITE ATC
Practice Location Address:
4710 N 5TH ST
PHOENIX, AZ
85012-1738
Practice Phone: 602-240-3119
Practice Fax:
1104434141 — FIRST CHOICE HOSPICE LLC
Practice Location Address:
1738 E THOMAS RD
PHOENIX, AZ
85016-7604
Practice Phone: 602-842-2485
Practice Fax:

Directions to “ SHIRLEEAH FAYSON AT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.