Shannon A Egan, DPT | |
1275 W Pueblo Blvd, Pueblo, CO 81004-3866 | |
(719) 542-0589 | |
(719) 542-0119 |
Full Name | Shannon A Egan |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1275 W Pueblo Blvd, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073380721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0019501 (Colorado) | Primary |
Provider Name | Colorado Health & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336542125 PECOS PAC ID: 4688999055 Enrollment ID: O20150205000869 |
Provider Name | Southern Colorado Health & Rehab |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295198067 PECOS PAC ID: 5799071924 Enrollment ID: O20160914000646 |
Mailing Address | Practice Location Address |
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Shannon A Egan, DPT Po Box 5718, Kalispell, MT 59903-5718 Ph: (406) 756-0134 | Shannon A Egan, DPT 1275 W Pueblo Blvd, Pueblo, CO 81004-3866 Ph: (719) 542-0589 |
Karen Bishop, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008 Phone: 719-266-1788 Fax: 719-776-4700 | |
Michelle Perse, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008 Phone: 719-568-9790 | |
Dane M Farnworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008 Phone: 719-542-4444 Fax: 719-543-1990 | |
Cydne Rossi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 | |
Todd S Chilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 Phone: 719-924-8912 Fax: 719-696-9115 | |
Mary Margaret Whelan Leffert, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008 Phone: 719-569-5691 Fax: 719-569-5689 |