Individual
SHANNON LEE HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(801) 840-2191
Mailing address
3222 S 1940 E, MILLCREEK, UT 84106-3920
(781) 635-5337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11281885-2401
UT
2251X0800X
Orthopedic Physical Therapist
11281885-2401
UT
Other
Enumeration date
05/24/2019
Last updated
03/25/2022
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