Shannon Rae Matherly, CRT
NPI #1003123811 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1003123811
- Entity Type
- Individual
- Name
- Shannon Rae Matherly, CRT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Respiratory Therapist, Certified
- Credential
- CRT
- Enumeration Date
- Sep 1, 2010
- Last Updated
- Sep 1, 2010
Practice Location
- Address
- 126 MISSOURI AVE
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 596-0131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respiratory Therapist, Certified |
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