MR. Shannon B. Ericson, MS, PT
NPI #1710941455 in Overland Park, Kansas
Provider Information
- NPI Number
- 1710941455
- Entity Type
- Individual
- Name
- MR. Shannon B. Ericson, MS, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MS, PT
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 5425 W 100TH TER
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66207-3119
- Phone
- (913) 825-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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