National Provider Identifier

Shannon Marie Kasperek, DPT

Shannon Marie Kasperek, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Perrysburg, NY and a listed phone number of (716) 532-1049.

NPI 1437409091Perrysburg, NYPhysical Therapist

Profile Overview

NPI
1437409091
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 11, 2012
Last Updated
March 12, 2013

Practice Location

  • 10714 North RD
  • Perrysburg, NY 14129-9746

Phone: (716) 532-1049

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1437409091
Entity Type
Individual
Last Name
Kasperek
First Name
Shannon
Middle Name
Marie
Credential
DPT
Provider Other Last Name
Bohen
Provider Other First Name
Shannon
Provider Other Middle Name
Marie
Provider Other Credential Text
DPT
Provider Other Last Name Type Code
1
Mailing Street Address
10714 North RD
Mailing City
Perrysburg
Mailing State
NY
Mailing ZIP Code
14129-9746
Mailing Country
US
Mailing Phone
(716) 532-1049
Practice Street Address
10714 North RD
Practice City
Perrysburg
Practice State
NY
Practice ZIP Code
14129-9746
Practice Country
US
Practice Phone
(716) 532-1049
Enumeration Date
September 11, 2012
Last Updated
March 12, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)