National Provider Identifier
Shannon Lynn Smith, PT, DPT
Shannon Lynn Smith, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Depew, NY and a listed phone number of (716) 656-1880.
Profile Overview
- NPI
- 1083227185
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 28, 2020
- Last Updated
- August 28, 2020
Practice Location
- 4721 Transit RD
- Depew, NY 14043-4898
Phone: (716) 656-1880
Mailing Address
- 21 Kellybrook Ct
- West Seneca, NY 14224-4404
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1083227185
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Shannon
- Middle Name
- Lynn
- Credential
- PT, DPT
- Mailing Street Address
- 21 Kellybrook Ct
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-4404
- Mailing Country
- US
- Mailing Phone
- (716) 868-0930
- Practice Street Address
- 4721 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4898
- Practice Country
- US
- Practice Phone
- (716) 656-1880
- Enumeration Date
- August 28, 2020
- Last Updated
- August 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)