Shannon Leigh Blum, ATC, PTA

NPI #1447464557 in Festus, Missouri

Provider Information

NPI Number: 1447464557
Entity Type: Individual
Name: Shannon Leigh Blum, ATC, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: ATC, PTA
Enumeration Date: May 9, 2007
Last Updated: Sep 13, 2023

Practice Location

Address: 1120 W COMMERCE DR STE 100
City: Festus
State: Missouri
ZIP Code: 63028-2392
Phone: (636) 224-7511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapy Assistant	225200000X	Primary

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