Individual
MRS. MICHELLE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1292 DRAKE ROAD, PARKVIEW NOBLE THERAPY, KENDALLVILLE, IN 46755
(260) 347-8824
(260) 347-8827
Mailing address
401 N. SAWYER RD, PARKVIEW NOBLE HOSPITAL, KENDALLVILLE, IN 46755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005507A
IN
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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