Provider Demographics
NPI:1528031275
Name:THURMAN, SHANNA SCOTT (MPT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:SHANNA
Middle Name:SCOTT
Last Name:THURMAN
Suffix:
Gender:F
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 YADKIN RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3255
Mailing Address - Country:US
Mailing Address - Phone:910-988-6974
Mailing Address - Fax:910-425-4956
Practice Address - Street 1:5310 YADKIN RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3255
Practice Address - Country:US
Practice Address - Phone:910-988-6974
Practice Address - Fax:910-425-4956
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics