Individual
SHANNON M RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 RADIO DR, STE 120, WOODBURY, MN 55125-8409
(651) 735-6100
Mailing address
290 DAYTON AVE APT 2E, SAINT PAUL, MN 55102-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5655
MN
Other
Enumeration date
03/28/2007
Last updated
12/31/2014
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