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

SHANNON BODILLY, PT, DPT

Active

SHANNON BODILLY, PT, DPT is a Physical Therapy Assistant healthcare provider located in MELBOURNE, Florida. NPI 1770263147 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MELBOURNE, FL

Registration Details

NPI Number
1770263147
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2023 (3.0750006998324 yrs)
Last Updated
Jul 20, 2023
License
PT40330 (FL)

Practice Information

Address
4241 N US HIGHWAY 1
MELBOURNE, FL, 329354822
Browse FL providers · Browse ZIP 32935
Phone
8336845439
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MELBOURNE, FL

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.