Individual
JENNIFER SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6555 CHIPPEWA ST, SUITE 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
Mailing address
6555 CHIPPEWA ST, SUITE 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000170995
MO
Other
Enumeration date
08/18/2010
Last updated
04/16/2025
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