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

SHANNON MAIXNER, PT

Active

SHANNON MAIXNER, PT is a Physical Therapy Assistant healthcare provider located in MAHTOMEDI, Minnesota. NPI 1861583379 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MAHTOMEDI, MN

Registration Details

NPI Number
1861583379
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2006 (19.882720937483 yrs)
Last Updated
Mar 11, 2024
License
4723 (MN)

Practice Information

Address
688 WILDWOOD RD
MAHTOMEDI, MN, 551151812
Browse MN providers · Browse ZIP 55115
Phone
6514299947
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MAHTOMEDI, MN

Name Credential NPI
MRS. LORIE ANN SCHLECK PT 1902015878
JOANELL A BOHMERT PT 1114282068
DR. MATTHEW MYCHAL ZELLMER PT, DPT, ATR, CSCS 1942659719
AMANDA LYNN ENGEN 1366917718
KACI ANN CARROLL DPT 1841897279
KATHERINE HANDS 1174493175
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.