Shannon Maixner, PT

NPI #1861583379 in Mahtomedi, Minnesota

Provider Information

NPI Number: 1861583379
Entity Type: Individual
Name: Shannon Maixner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 28, 2006
Last Updated: Mar 11, 2024

Practice Location

Address: 688 WILDWOOD RD
City: Mahtomedi
State: Minnesota
ZIP Code: 55115-1812
Phone: (651) 429-9947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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