Christopher Shannon MPT

NPI 1023188430 - Physical Therapist - 225100000X

NPI Details
NPI 1023188430
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/17/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1750 112TH AVE NE BLDG 4
STE E175
BELLEVUE WA, 98004-3752, US
Phone (425) 289-0381
Fax (425) 289-0387
Business Location
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax (253) 840-6340
Taxonomy Code 225100000X
License State Washington
License Number PT00008717
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According to our database, Christopher Shannon MPT NPI is 1023188430, taxonomy code is 225100000X and license number is PT00008717, license state is located at Washington. Christopher Shannon MPT physically located at 1750 112th Ave Ne Bldg 4, Bellevue WA, 98004-3752. NPI Number Christopher Shannon MPT has the Individual type.

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1023188430 NPI number is provided on an as is basis without warranty of any kind. 1023188430 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Shannon MPT are for informational purposes only.