Individual
SHANNON STUCHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
537 DUNE RDG N, SAINT JOSEPH, MI 49085-1093
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201013537
MI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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