Individual
SHANNON KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 AFTON WAY, COLORADO SPRINGS, CO 80909-1920
(719) 633-2269
Mailing address
2010 AFTON WAY, COLORADO SPRINGS, CO 80909-1920
(719) 360-8355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0483
WY
Other
Enumeration date
08/09/2011
Last updated
09/03/2011
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