Provider Demographics
NPI:1033351697
Name:ALEXANDER, SHAUNCIA RENEE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:SHAUNCIA
Middle Name:RENEE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926A FINKMAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-3535
Mailing Address - Country:US
Mailing Address - Phone:314-495-6831
Mailing Address - Fax:
Practice Address - Street 1:4926A FINKMAN ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-3535
Practice Address - Country:US
Practice Address - Phone:314-495-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-29
Last Update Date:2009-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007038310227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered