Provider Demographics
NPI:1811282387
Name:WOODALL, SHAYLA DENISE (DPT)
Entity type:Individual
Prefix:MS
First Name:SHAYLA
Middle Name:DENISE
Last Name:WOODALL
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 1:1309 TONAWANDA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2744
Mailing Address - Country:US
Mailing Address - Phone:614-352-0021
Mailing Address - Fax:
Practice Address - Street 1:1309 TONAWANDA AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2744
Practice Address - Country:US
Practice Address - Phone:614-352-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist