Provider Demographics
NPI:1023254075
Name:CURRIER, SHANNA R (DPT)
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:R
Last Name:CURRIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 SHORE RUSH DR
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6481
Mailing Address - Country:US
Mailing Address - Phone:843-585-3303
Mailing Address - Fax:843-874-3174
Practice Address - Street 1:9657 OCEAN HWY, PAWLEYS ISLAND, SC 29585
Practice Address - Street 2:SUITE 3
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585
Practice Address - Country:US
Practice Address - Phone:843-585-3303
Practice Address - Fax:843-874-3174
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4818225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH2019Medicaid
SCTH2019Medicaid