Provider Demographics
NPI:1548235211
Name:HOAK, SHAUNA MEGHAN (MPT)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:MEGHAN
Last Name:HOAK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CNOS, PC
Mailing Address - Street 2:575 SIOUX POINT ROAD
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5312
Mailing Address - Country:US
Mailing Address - Phone:605-217-2615
Mailing Address - Fax:605-217-2915
Practice Address - Street 1:CNOS, PC
Practice Address - Street 2:575 SIOUX POINT ROAD
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5312
Practice Address - Country:US
Practice Address - Phone:605-217-2615
Practice Address - Fax:605-217-2915
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5834900Medicaid
SD5834900Medicaid
Q48849Medicare UPIN