Barlow, Shannon Tara

Barlow, Shannon Tara is an sole proprietor health care provider with primary practice located at 1001 N 7Th Ave Ste 205 , Pocatello ID 83201-5761. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Barlow, Shannon Tara can be contacted via phone (208) 239-1490.

Contact Information

Primary practice address
1001 N 7Th Ave Ste 205 Pocatello ID 83201-5761
Phone: (208) 239-1490
Fax: (208) 239-1794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT-1900 Idaho
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X PT-1900 Idaho

Profile Details

NPI number 1457083487
LBN Legal business name Barlow, Shannon Tara
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2022
Last updated Jun 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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