Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNIE SHANK, PT
Active Sole ProprietorCONNIE SHANK, PT is a Podiatric Surgery healthcare provider located in MASON, Ohio. NPI 1578734067 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MASON, OH
Registration Details
- NPI Number
- 1578734067
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2008 (18.451920585255 yrs)
- Last Updated
- Aug 23, 2019
- License
-
4294 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5230 KINGS MILLS RDMASON, OH, 450402319Browse OH providers · Browse ZIP 45040
- Phone
- 5133982000
- Fax
- 5133329098
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
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.