NPI 1013318203

Shannon Custer

Practitioner Physical Therapist Dubuque, IA

Practice location

Address: 4005 Westmark Dr Suite 320, Dubuque, IA 52002-2271
Phone: (563) 588-3891
Fax: (563) 588-3893

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12851-24 (WI)

Other Physical Therapist providers in Iowa →

Registry record

NPI: 1013318203
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2014
Record last updated: 8 Sep 2014

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.