NPI 1053539965 · live from the CMS NPI Registry
Shannon Michelle Allison, PT
Physical Therapist in Okmulgee, OK. National Provider Identifier 1053539965, active.
NPI record
| NPI | 1053539965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 900 E. Airport Road, Okmulgee, OK 74447 |
| Practice phone | 918-756-9211 |
| Mailing address | 11822 S 96th East Pl, Bixby, OK 74008 |
| Enumerated | April 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 2890 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.