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

SHANNON DAWN HESTOR, ATC, LAT

Active

SHANNON DAWN HESTOR, ATC, LAT is a Sports Medicine (PM&R) healthcare provider located in INDIANA, Pennsylvania. NPI 1669101770 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · INDIANA, PA

Registration Details

NPI Number
1669101770
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2022 (4.1484267132474 yrs)
Last Updated
Jun 7, 2022
License
RT007852 (PA)

Practice Information

Address
660 S 11TH ST
INDIANA, PA, 17705
Browse PA providers · Browse ZIP 17705
Phone
7179913283
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
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.