Doctor Name: | MISS SHANNON ALLISON RATERMANN |
NPI Number: | 1356437438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 3705 |
Business Practice Address: | 1200 S Shundi Grove, OK - 743441014 |
Business Phone Number: | 9183532309 |
Business Fax Number: | 9187877889 |
Mailing Address: | Po Box 450517, GROVE |
State: | OK |
Postal Code: | 743450517 |
Phone Number: | 9183532309 |
Fax Number: | 9187877889 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |