Individual
SHANNON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1235 YANCEY ST, ROANOKE, AL 36274-2141
(334) 863-3535
(334) 863-7276
Mailing address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7164
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7542411
DRIVER'S LICENSE
AL
01
—
PTH7164
AL BOARD OF PHYSICAL THERAPY
AL
Enumeration date
06/11/2014
Last updated
06/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us