NPI 1265843346

Shannon Olson, ATC

Practitioner Other Specialist/Technologist West Fargo, ND

Practice location

Address: 800 40th Ave E, West Fargo, ND 58078-7926
Phone: (701) 356-2160
Mailing address: 3011 34th St S, Moorhead, MN 56560-6938

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 251-02 (ND)

Other Specialist/Technologist, Other providers in North Dakota →

Registry record

NPI: 1265843346
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2014
Record last updated: 12 May 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.