Individual
MS. SHANNON NICOLE DRISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 NW MOCK AVE STE OFF, BLUE SPRINGS, MO 64014-2504
(816) 228-5655
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03174
KS
225200000X
Physical Therapy Assistant
2016002049
MO
Other
Enumeration date
09/21/2018
Last updated
12/08/2023
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