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Individual
SHANNON SEVOR
Active
Individual
SHANNON SEVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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