Provider Demographics
NPI:1467330597
Name:HAWKINS, SHAILAH SABILLO (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:SHAILAH
Middle Name:SABILLO
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11327 212TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-2003
Mailing Address - Country:US
Mailing Address - Phone:562-685-5168
Mailing Address - Fax:
Practice Address - Street 1:11327 212TH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-2003
Practice Address - Country:US
Practice Address - Phone:562-685-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist