Provider Demographics
NPI:1518939586
Name:SHINGLES, RENE REVIS (PHD, ATC)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:REVIS
Last Name:SHINGLES
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 SCULLY RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-8011
Mailing Address - Country:US
Mailing Address - Phone:989-773-9037
Mailing Address - Fax:
Practice Address - Street 1:HEALTH PROFESSIONS BUILDING 1171
Practice Address - Street 2:CENTRAL MICHIGAN UNIVERSITY
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-2378
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer