NPI 1669101770

Shannon Dawn Hestor, ATCLAT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Indiana, PA

Practice location

Address: 660 S 11th St, Indiana, PA 17705
Phone: (717) 991-3283
Mailing address: 100 Grove Ln APT 813, Indiana, PA 15701-2128

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence RT007852 (PA)

Other Physical Medicine & Rehabilitation providers in Pennsylvania →

Registry record

NPI: 1669101770
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2022
Record last updated: 7 Jun 2022

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.