Individual
SHANNESSY SUE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1500 E 10TH ST, ATLANTIC, IA 50022-1935
(712) 243-8006
Mailing address
8217 PARKVIEW DR, URBANDALE, IA 50322-1514
(712) 249-8940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03560
IA
Other
Enumeration date
12/11/2007
Last updated
09/20/2011
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