Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSI B SHANE, PTA
Active Sole ProprietorJESSI B SHANE, PTA is a Occupational Therapist healthcare provider located in CENTERVIEW, Missouri. NPI 1174363055 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CENTERVIEW, MO
Registration Details
- NPI Number
- 1174363055
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2024 (2.176281045212 yrs)
- Last Updated
- May 29, 2024
- License
-
2024003807 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
386 SW 811TH RDCENTERVIEW, MO, 640199291Browse MO providers · Browse ZIP 64019
- Phone
- 4097198036
- Primary Specialty
-
Occupational Therapist
225200000X
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.