Individual
SHANNON STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3601 CIMARRON PLZ, HASTINGS, NE 68901-2884
(402) 463-2085
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
883
NE
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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