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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON KOENIG, PT, DPT, CLT

Active

SHANNON KOENIG, PT, DPT, CLT is a Physical Therapy Assistant healthcare provider located in RICHFIELD, Minnesota. NPI 1245878271 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RICHFIELD, MN

Registration Details

NPI Number
1245878271
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2019 (6.6561026761519 yrs)
Last Updated
Jun 14, 2023
Licenses
10927
10927 (MN)

Practice Information

Address
6601 LYNDALE AVE S STE 105
RICHFIELD, MN, 554232490
Browse MN providers · Browse ZIP 55423
Phone
6127755190
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in RICHFIELD, MN

Name Credential NPI
KARI LYNN COX PT 1609894617
JOSHUA R TANNER PT 1811908742
ELIZABETH SCHORN PT 1164501680
JAMES FRANCIS RIAN P.T. 1508996638
CYNTHIA WITTKOWSKE PT 1215060132
KIMBERLY ANN PETERSON P.T. 1578769113
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.