| Keziah Shan, | |
|
2100 Center Dr Apt 112, Vernon, TX 76384-4833 | |
| (940) 261-0677 | |
| Not Available |
| Full Name | Keziah Shan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2100 Center Dr Apt 112, Vernon, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568841625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT42354 (California) | Primary |
| 225100000X | Physical Therapist | 1225098 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Keziah Shan, 2100 Center Dr Apt 112, Vernon, TX 76384-4833 Ph: (940) 261-0677 | Keziah Shan, 2100 Center Dr Apt 112, Vernon, TX 76384-4833 Ph: (940) 261-0677 |
Timothy Carpenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4301 Hospital Dr, Vernon, TX 76384 Phone: 940-552-2568 Fax: 940-552-6256 | |
Lisa Petross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Hillcrest Dr, Vernon, TX 76384 Phone: 940-553-2857 | |
Dr. Divina Francia Sagum, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2509 Bismarck St, Vernon, TX 76384 Phone: 940-414-1849 |