Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ELIZABETH JOHNSON, PTA
Active Sole ProprietorSHANNON ELIZABETH JOHNSON, PTA is a Occupational Therapist healthcare provider located in MEQUON, Wisconsin. NPI 1255858890 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MEQUON, WI
Registration Details
- NPI Number
- 1255858890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2017 (8.9401760114602 yrs)
- Last Updated
- Dec 13, 2021
- License
-
2622-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12600 N PORT WASHINGTON RDMEQUON, WI, 530923469Browse WI providers · Browse ZIP 53092
- Phone
- 2623878800
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MEQUON, WI
| Name | Credential | NPI |
|---|---|---|
| KAREN ANN TICCIONI | LPTA | 1225072887 |
| MRS. SARAH MARIE NEMAN | PTA | 1235173337 |
| DONNA A ROSENBERG | PTA | 1497781728 |
| JANET SUSAN INGOLD | PTA | 1043240039 |
| STEVE NELSON | PTA | 1457376626 |
| MARTHA CRAUN | — | 1861948861 |
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.