Individual
JENNIFER JEANNE MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4383 SW BREEZY POINT LN, LEES SUMMIT, MO 64082-4771
(816) 673-5671
Mailing address
4383 SW BREEZY POINT LN, LEES SUMMIT, MO 64082-4771
(816) 673-5671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109592
MISSOURI LICENSE
MO
Enumeration date
04/26/2017
Last updated
04/26/2017
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