Individual
SHANNON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7578
Mailing address
844 E 2700 S, SALT LAKE CITY, UT 84106-1721
(860) 634-3540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11419905-2401
UT
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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