National Provider Identifier

Shianne Shanahan, PT, DPT

Shianne Shanahan, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Painted Post, NY and a listed phone number of (607) 937-4800.

NPI 1194363457Painted Post, NYPhysical Therapist

Profile Overview

NPI
1194363457
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 18, 2019
Last Updated
December 18, 2019

Practice Location

  • 9768 Liberty Dr
  • Painted Post, NY 14870-9094

Phone: (607) 937-4800

Mailing Address

  • 404 W River RD
  • Nichols, NY 13812-2109

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1194363457
Entity Type
Individual
Last Name
Shanahan
First Name
Shianne
Credential
PT, DPT
Mailing Street Address
404 W River RD
Mailing City
Nichols
Mailing State
NY
Mailing ZIP Code
13812-2109
Mailing Country
US
Mailing Phone
(607) 972-9138
Practice Street Address
9768 Liberty Dr
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9094
Practice Country
US
Practice Phone
(607) 937-4800
Enumeration Date
December 18, 2019
Last Updated
December 18, 2019
Sex
Female
Sole Proprietor
No
Certification Date
December 18, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)