| Doctor Name: | MRS. SHANNA A JIMERSON |
| NPI Number: | 1891092722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT3331 |
| Business Practice Address: | 203 Avalon Ave Suite 230 Muscle Shoals, AL - 356612869 |
| Business Phone Number: | 2563812649 |
| Business Fax Number: | 2563861143 |
| Mailing Address: | 203 Avalon Ave, Suite 230 MUSCLE SHOALS |
| State: | AL |
| Postal Code: | 356612869 |
| Phone Number: | 2563812649 |
| Fax Number: | 2563861143 |
| NPI Enumeration Date: | 02/11/2011 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3331 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| 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 |