Individual
SHANNON MARY LESNEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5848 SOUTH 300 EAST, MURRAY, UT 84107
(801) 314-8357
Mailing address
1266 E HARRISON AVE, SALT LAKE CITY, UT 84105-2534
(801) 314-8357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
377900-2401
UT
Other
Enumeration date
06/05/2008
Last updated
08/18/2014
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