| NPI | 1831771807 |
|---|---|
| Former Name | SHANNON M RAYHONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 131859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-025827) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-04-10 |