Provider Demographics
NPI:1164820338
Name:RIEUMONT, SHAINA X (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:
Last Name:RIEUMONT
Suffix:X
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:SHAINA
Other - Middle Name:
Other - Last Name:RIEUMONT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7441 SW 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2925
Mailing Address - Country:US
Mailing Address - Phone:305-205-2543
Mailing Address - Fax:
Practice Address - Street 1:2619 SW 147TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5622
Practice Address - Country:US
Practice Address - Phone:305-207-0602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist