Shannon Marie Petersen in Des Moines - Physical Therapist
Shannon Marie Petersen - NPI 1619969383
Shannon Marie Petersen is a Physical Therapist in Des Moines, Iowa. Shannon Marie Petersen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Marie Petersen is 1619969383. The last update date is 2010-03-04.
Shannon Marie Petersen's current location address is 3200 Grand Ave, Des Moines, Iowa. You can contact this provider via phone number 5152711717 and fax number 5152717185. The mailing address for Shannon Marie Petersen is 3200 Grand Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Marie Petersen |
|---|---|
| Address | 3200 Grand Ave, Des Moines, Iowa |
| Phone Number | 5152711717 |
| Fax Number | 5152717185 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1619969383 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2010-03-04 |
Provider Mailing Address Detail
| Address | 3200 Grand Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503124104 |
| Phone Number | 5152711717 |
| Fax Number | 5152717185 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2411 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 299826 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Marie Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Marie Petersen has been assigned the NPI (National Provider Identifier) 1619969383. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Shannon Marie Petersen is geographically located?
The Shannon Marie Petersen is physically situated at the following location: 3200 Grand Ave, Des Moines, IA, 503124104.
What is Shannon Marie Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Marie Petersen is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619969383 to Shannon Marie Petersen?
The Centers for Medicare & Medicaid Services assigned the 1619969383 to Shannon Marie Petersen on 2005-08-18.
When was the information regarding Shannon Marie Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Marie Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-03-04.
NPI Number: 1699778829
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