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Individual

MRS. SHAWNA RENEE TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, COMT, LMT

Contact information

Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5518
Mailing address
1337 W PEYTON PL, NIXA, MO 65714-7173
(417) 425-1231

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
111893
MO
225700000X
Massage Therapist
2001025951
MO

Other

Enumeration date
05/22/2007
Last updated
05/01/2020
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