Coburn Shank, MSPT

NPI #1558478263 in Clive, Iowa

Provider Information

NPI Number: 1558478263
Entity Type: Individual
Name: Coburn Shank, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Aug 25, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1601 NW 114TH ST
Address 2: SUITE 155
City: Clive
State: Iowa
ZIP Code: 50325-7007
Phone: (515) 222-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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