Michael David Shannon, DPT, CSCS

NPI #1083599062 in Gettysburg, Pennsylvania

Provider Information

NPI Number: 1083599062
Entity Type: Individual
Name: Michael David Shannon, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, CSCS
Enumeration Date: Aug 8, 2025
Last Updated: Aug 8, 2025

Practice Location

Address: 371 E WATER ST STE 1
City: Gettysburg
State: Pennsylvania
ZIP Code: 17325-1503
Phone: (717) 549-2945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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