Individual
SHANNON BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 N DETROIT ST, PO BOX 31, WEST LIBERTY, OH 43357-9458
(740) 977-8904
Mailing address
119 N DETROIT ST, WEST LIBERTY, OH 43357-9458
(740) 977-8904
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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