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Contact Information

SHAWN D AXTEN, PT,CST-D
20360 EMPIRE AVE # B-9A
BEND, OR97703-5709
 Phone: 360-607-7226
 Fax: 541-706-9330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SHAWN D AXTEN · (Female)

NPI Number 1922158377
Status Active
Credentials PT,CST-D
Entity Individual
Enumeration date 01/10/2007
Last updated 06/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 01557
  • WA License # WAPT0000574
  • OR Other 01557 OREGON PT LICENSING BOARD
  • WA Other 00005748 WA PHYSICAL THERAPY LICENSING BOARD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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