Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANNON DUANE BLANK, P.T.
Active Sole ProprietorMR. SHANNON DUANE BLANK, P.T. is a Physical Therapy Assistant healthcare provider located in OLNEY, Illinois. NPI 1568471753 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OLNEY, IL
Registration Details
- NPI Number
- 1568471753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (20.038676414102 yrs)
- Last Updated
- Mar 19, 2010
- License
-
070-010392 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 E LOCUST STOLNEY, IL, 624502553Browse IL providers · Browse ZIP 62450
- Phone
- 6183956031
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OLNEY, IL
| Name | Credential | NPI |
|---|---|---|
| MS. VICKIE LYNN ROESER | PT | 1851360804 |
| ANGELA D MCLAUGHLIN | P.T. | 1992730451 |
| ANN ADAMS | PT MS | 1508971789 |
| MRS. MARTI JO WAGGONER | PT | 1215252192 |
| DEBRA K COAD | — | 1699063826 |
| KAYLA LYNN SEMPLE | PT | 1659621134 |
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.