Kirk Patrick Shea I

Physical Therapy Assistant · La Grande, OR

Individual Active NPI

NPI number 1619485406

Practice location

91 Aries Ln
La Grande, OR 97850-3309
Phone
(541) 963-8678

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NPI record

NPI
1619485406
Entity type
Individual (Type 1)
Enumeration date
January 16, 2018
Last updated
January 16, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 08979 OR

About Kirk Shea

Kirk Patrick Shea I is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 91 Aries Ln, La Grande, OR 97850-3309. The NPI number 1619485406 was assigned on January 16, 2018 and the record was last updated on January 16, 2018.

Kirk Shea lists a license in the registry: #08979 (OR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kirk Patrick Shea I?

The NPI number is 1619485406.

What is the phone number of Kirk Shea?

The phone number listed for the practice location is (541) 963-8678.

Where is Kirk Shea located?

91 Aries Ln, La Grande, OR 97850-3309.

What is the taxonomy code for Kirk Shea?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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