Shannon Henry, DPT | |
1110 Columbine Dr, Holton, KS 66436-8824 | |
(785) 364-9649 | |
Not Available |
Full Name | Shannon Henry |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1110 Columbine Dr, Holton, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457125551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-04426 (Kansas) | Primary |
Provider Name | Physical & Respiratory Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1407850902 PECOS PAC ID: 0244212298 Enrollment ID: O20150324000743 |
Mailing Address | Practice Location Address |
---|---|
Shannon Henry, DPT 25339 K2 Ln, Circleville, KS 66416-9585 Ph: (785) 294-0431 | Shannon Henry, DPT 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-9649 |
Sarrah R Edwards, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr, Holton, KS 66436 Phone: 785-364-9617 | |
Jon Fetterhoof, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Columbine Dr, Holton, KS 66436 Phone: 785-364-2116 | |
Phillip John Wassenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Columbine Dr, Holton, KS 66436 Phone: 785-364-2116 |