SUSAN SHANKS WEST

KINGSPORT, TN
NPI1376676635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: TN  1163)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- SUSAN SHANKS WEST PT
2971 FORT HENRY DR
KINGSPORT, TN 37664-4005
Phone number: 423-230-8456
Mailing Address
-- SUSAN SHANKS WEST PT
116 LAZY LN
GRAY, TN 37615-4272
Phone number: 423-477-3090
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