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

SHANNON LEIGH BLUM, ATC, PTA

Active

SHANNON LEIGH BLUM, ATC, PTA is a Occupational Therapist healthcare provider located in FESTUS, Missouri. NPI 1447464557 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FESTUS, MO

Registration Details

NPI Number
1447464557
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2007 (19.261834328962 yrs)
Last Updated
Sep 13, 2023
Licenses
113979 (MO)
2019027232 (MO)

Practice Information

Address
1120 W COMMERCE DR STE 100
FESTUS, MO, 630282392
Browse MO providers · Browse ZIP 63028
Phone
6362247511
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in FESTUS, MO

Name Credential NPI
DEANNA C WILKEN P.T.A. 1760634901
MANDY SUE GARBER PTA 1093153371
EMMA ELIZABETH WITTE PTA 1790413250
MR. BENJAMIN C ROBARGE PTA 1437926326
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.