SHANNON NICOLE BARKER

APPLETON, WI
NPI1821554536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2762-19)
Enumeration Date2019-02-18
Last Update Date2019-02-18
Business Address
SHANNON NICOLE BARKER PTA
W4070 DEVINE LN
APPLETON, WI 54913-8399
Phone number: 920-422-2016
Mailing Address
SHANNON NICOLE BARKER PTA
W4070 DEVINE LN
APPLETON, WI 54913-8399
Phone number: 920-422-2016