Blum, Shannon Leigh

Blum, Shannon Leigh is an individual health care provider with primary practice located at 1120 W Commerce Dr Ste 100 , Festus MO 63028-2392. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Blum, Shannon Leigh can be contacted via phone (636) 224-7511.

Contact Information

Primary practice address
1120 W Commerce Dr Ste 100 Festus MO 63028-2392
Phone: (636) 224-7511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 113979 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2019027232 Missouri

Profile Details

NPI number 1447464557
LBN Legal business name Blum, Shannon Leigh
Credentials ATC, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Sep 13th, 2023 - 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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