Individual
SHANNON SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12051 NORTHAVEN CIR, THORNTON, CO 80241-3643
(720) 872-2190
Mailing address
12051 NORTHAVEN CIR, THORNTON, CO 80241-3643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013383
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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