Provider Demographics
NPI:1255488193
Name:ZION, SHAYNA LEAH (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:LEAH
Last Name:ZION
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 PINE VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4071
Mailing Address - Country:US
Mailing Address - Phone:941-359-9037
Mailing Address - Fax:
Practice Address - Street 1:5950 DEER DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8595
Practice Address - Country:US
Practice Address - Phone:941-554-5957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 21202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer