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Shannon Blum, ATC, PTA
NPI 1447464557 · on the registry since 2007
Practice
- Address
- 1120 W Commerce Dr Ste 100
Festus, MO 63028 - Phone
- (636) 224-7511
- Clinicians at this address
- 11
Additional practice sites
- 21964 Hightway 32, Ste. Genevieve, MO
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri