Shannon Budworth, PTA
NPI #1063976082 in Ellensburg, Washington
Provider Information
- NPI Number
- 1063976082
- Entity Type
- Individual
- Name
- Shannon Budworth, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Jan 23, 2019
Practice Location
- Address
- 1050 E MOUNTAIN VIEW AVE
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926
- Phone
- (509) 925-4171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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