Individual
MRS. SHANNON C MARSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
508 2ND ST NE, DAYTON, IA 50530-7530
(515) 547-2288
(515) 547-2287
Mailing address
2455 PECAN AVE., GUTHRIE CENTER, IA 50115
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
001456
IA
Other
Enumeration date
08/08/2011
Last updated
01/26/2016
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