Shannon Kay Mcdaniel, PT

NPI #1235569625 in Tyler, Texas

Provider Information

NPI Number: 1235569625
Entity Type: Individual
Name: Shannon Kay Mcdaniel, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 21, 2013
Last Updated: Nov 21, 2013

Practice Location

Address: 3400 S BROADWAY AVE
Address 2: SUITE 205
City: Tyler
State: Texas
ZIP Code: 75701-8728
Phone: (903) 595-6126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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