Individual
SHAWN K EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PT, OCS, MTC
Contact information
Practice address
763 S NEW BALLAS RD, 200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
Mailing address
763 S NEW BALLAS RD, 200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01532
MO
Other
Enumeration date
05/01/2007
Last updated
03/27/2008
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