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

KEEGAN DOUGLAS SHANNON, PT, DPT

Active

KEEGAN DOUGLAS SHANNON, PT, DPT is a Physical Therapy Assistant healthcare provider located in ALLENDALE, Michigan. NPI 1861224412 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ALLENDALE, MI

Registration Details

NPI Number
1861224412
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2024 (1.966845800935 yrs)
Last Updated
Aug 14, 2024
License
5501303485 (MI)

Practice Information

Address
11160 WJ PRESLEY PKWY STE 103
ALLENDALE, MI, 494018075
Browse MI providers · Browse ZIP 49401
Phone
9786027431
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ALLENDALE, MI

Name Credential NPI
JODI L BRIGGS MSPT 1558517615
CHERIE NICHOLE WILLIAMS DPT 1114178233
ELIZABETH LAURA WATSON DPT 1982087821
CRAIG ALLEN VISSERS MSPT 1932602885
CATHERINE MARIE CASTILLO PT 1134622186
HALEY J SLAGBOOM DPT 1174144315
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.