Sharen Dee Hale, LPT
Individual provider Active NPI Other Technician · Nipomo, CA
NPI 1780064865 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1780064865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- PT 36410 (CA)
- Practice address
- 518 Higos Way
Nipomo, CA 93444-9126 - Phone
- (805) 709-3366
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | PT 36410 | CA | Yes |
Addresses
Primary practice location
518 Higos Way
Nipomo, CA 93444-9126
Mailing address
518 Higos Way
Nipomo, CA 93444-9126
Phone (805) 709-3366
Other providers in Nipomo, CA
- Ruth Ellen Gray
- Amy Erin Greenhaw
- Tyler Gross-Stuart
- Grow With Me- Creciendo Juntos
- Steven Gruenewald
- Patti A Hamernik
- Jessica Hawley
- Shannon Lynne Hirase
- Edward Alan Hirsch
- Kelly I Howard
All providers in Nipomo, CA · Other Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.