Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Champion

Individual provider Physical Therapy Assistant · NPI 1497033187

Shane Champion is a Physical Therapy Assistant in Grand Bay, Alabama. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
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Practice location Address checks out

5500 Dara Ln
Grand Bay, AL 36541-3465
Phone: (251) 454-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA3404 (MS)

Record details

NPI number1497033187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2011
Last updated in NPPESJuly 28, 2011