Axten, Shawn D

Axten, Shawn D is an sole proprietor health care provider with primary practice located at 20360 Empire Ave # B-9A , Bend OR 97703-5709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is her primary health care specialty. Axten, Shawn D can be contacted via phone (360) 607-7226.

Contact Information

Primary practice address
20360 Empire Ave # B-9A Bend OR 97703-5709
Phone: (360) 607-7226
Fax: (541) 706-9330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X WAPT0000574 Washington
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 01557 Oregon

Profile Details

NPI number 1922158377
LBN Legal business name Axten, Shawn D
Credentials PT,CST-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jun 19th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922158377 NPPES
Washington Other 00005748 WA PHYSICAL THERAPY LICENSING BOARD
Washington Other 01557 WA PHYSICAL THERAPY LICENSING BOARD

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