Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON RAE MATHERLY, CRT
Active Sole ProprietorSHANNON RAE MATHERLY, CRT is a Respiratory Therapist, Certified healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1003123811 is currently active in the NPPES registry. Verify at CMS.
Respiratory Therapist, Certified · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1003123811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2010 (15.91647996454 yrs)
- Last Updated
- Sep 1, 2010
- License
-
2003003887 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 MISSOURI AVEFORT LEONARD WOOD, MO, 654738952Browse MO providers · Browse ZIP 65473
- Phone
- 5735960131
- Fax
- 5735960951
- Primary Specialty
-
Respiratory Therapist, Certified
227800000X
Other Respiratory Therapist, Certified Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MR. BEARL D MAY | — | 1538475462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.