Individual
MRS. SHANNON KAY HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
2011 GRANDVIEW DR, WAMEGO, KS 66547-1159
(785) 456-7813
Mailing address
302 N 6TH ST, SAINT MARYS, KS 66536-1408
(785) 844-2140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01779
KS
Other
Enumeration date
06/05/2007
Last updated
05/17/2011
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