NPI 1093280307

Shannon F Burbank

Practitioner Physical Therapy Assistant Nampa, ID

Practice location

Address: 1127 Caldwell Blvd, Nampa, ID 83651-1701
Phone: (209) 465-4935
Mailing address: 2697 W Los Flores CT, Meridian, ID 83646-5468

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5839 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1093280307
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2018
Record last updated: 12 Oct 2018

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.