Individual
MRS. SHANNON RENEE TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4325
Mailing address
1906 NW 69TH ST, KANSAS CITY, MO 64151-2398
(573) 552-5765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003001815
MO
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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