Individual
DR. KATIE JO SHALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1302 S 51ST AVE, OMAHA, NE 68106-2426
(402) 367-9721
Mailing address
1302 S 51ST AVE, OMAHA, NE 68106-2426
(402) 367-9721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60949040
WA
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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