SHANNON D. FRAIKES

PEORIA, IL
NPI1760592018
Former NameSHANNON D. MCELYEA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-006465)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Mrs. SHANNON D. FRAIKES P.T.
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-8669
Mailing Address
Mrs. SHANNON D. FRAIKES P.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000