IndividualActive
Shavaughn Elkins, MSRLS-CTRS
NPI 1104609593 · Recreation Therapist · Phoenix, AZ
Provider details
- NPI number
- 1104609593
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSRLS-CTRS
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
19456 W Woodlands Ave
Buckeye, AZ 85326-5886
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.