Myatt, Shane Adam
Myatt, Shane Adam is an individual health care provider with primary practice located at 402 S John Redditt Dr , Lufkin TX 75904-3107. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Myatt, Shane Adam can be contacted via phone (936) 632-2107.Contact Information
Primary practice address
402 S John Redditt Dr
Lufkin TX 75904-3107
Phone: (936) 632-2107
Fax: (936) 632-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1135408 | Texas |
Profile Details
| NPI number | 1023243953 |
|---|---|
| LBN Legal business name | Myatt, Shane Adam |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2009 |
| Last updated | Jun 30th, 2010 - about 14 years 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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