Provider Demographics
NPI:1508165218
Name:EASON, SHARLA H (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHARLA
Middle Name:H
Last Name:EASON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-9313
Mailing Address - Country:US
Mailing Address - Phone:205-338-6106
Mailing Address - Fax:205-814-9180
Practice Address - Street 1:85 PLAZA DR
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-9313
Practice Address - Country:US
Practice Address - Phone:205-338-6106
Practice Address - Fax:205-814-9180
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist