Individual
SHANNON KNEAFSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1892
(602) 277-5551
Mailing address
5211 S 43RD PL, PHOENIX, AZ 85040-4017
(757) 690-3047
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
VA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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