Individual
SHANNON BUBNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1604 NW STATE ST STE 102, ANKENY, IA 50023-1484
(515) 965-4594
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-025827
IL
225100000X
Physical Therapist
Primary
131859
IA
Other
Enumeration date
04/28/2021
Last updated
04/10/2025
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