Karen Anne Shattuck, PTA, LMT

NPI #1417182668 in Isanti, Minnesota

Provider Information

NPI Number: 1417182668
Entity Type: Individual
Name: Karen Anne Shattuck, PTA, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMT
Enumeration Date: May 18, 2009
Last Updated: Mar 17, 2018

Practice Location

Address: 2 ENTERPRISE AVE NE STE C1
City: Isanti
State: Minnesota
ZIP Code: 55040-6811
Phone: (206) 471-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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