NPI 1003123811

Shannon Rae Matherly, CRT

Practitioner Certified Respiratory Therapist Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0131
Fax: (573) 596-0951

Registered specialties

Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227800000X Licence 2003003887 (MO)

Other Respiratory Therapist, Certified providers in Missouri →

Registry record

NPI: 1003123811
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2010
Record last updated: 1 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.