Individual
NATALIE ALEXA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005774
KY
225100000X
Physical Therapist
Primary
PTH6158
AL
2255A2300X
Athletic Trainer
1009
AL
Other
Enumeration date
08/29/2008
Last updated
03/29/2019
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