| NPI | 1821205907 |
|---|---|
| Former Name | SHANNON MARIE ATNIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 115001) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-08-13 |