NPI 1124329933

Shannon Stanush, EIS

Practitioner Developmental Therapist Lytle, TX

Practice location

Address: 19965 Fm 3175, Lytle, TX 78052-3481
Phone: (210) 357-0395
Fax: (830) 709-5493
Mailing address: PO Box 725, Lytle, TX 78052-0725

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 093738 (TX)

Other Developmental Therapist providers in Texas →

Registry record

NPI: 1124329933
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2010
Record last updated: 10 Nov 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.