Individual
MRS. SHANNON M ASTROLOGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUIRE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
11053 WESTOVES DR, NOBLESVILLE, IN 46060-4853
(317) 385-3467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008837A
IN
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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