Russell, Shannon Louise
Russell, Shannon Louise is an sole proprietor health care provider with primary practice located at 4419 Frontier Trl Ste 101 , Austin TX 78745-1567. She recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as her primary health care specialty. Russell, Shannon Louise can be contacted via phone (512) 766-2649.Contact Information
Primary practice address
4419 Frontier Trl Ste 101
Austin TX 78745-1567
Phone: (512) 766-2649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 1233729 | Texas |
Profile Details
| NPI number | 1346647351 |
|---|---|
| LBN Legal business name | Russell, Shannon Louise |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2014 |
| Last updated | Nov 17th, 2022 - about 3 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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