Individual
SHAWN STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 S OHIO ST STE B, SALINA, KS 67401-6791
(785) 404-1616
Mailing address
2996 14TH AVE, LINDSBORG, KS 67456-6034
(620) 562-7271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01142
KS
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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