Individual
LINNIE JANE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S WEST ST, CONCORDIA, MO 64020-9643
(660) 463-2267
Mailing address
7572 SUMMER AZURE LN, HIGGINSVILLE, MO 64037-8216
(816) 695-6651
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008036682
MO
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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