National Provider Identifier
Shannon Marie Evans, DPT
Shannon Marie Evans, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 861-8961.
Profile Overview
- NPI
- 1467906578
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 05, 2016
- Last Updated
- August 09, 2016
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 861-8961
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1467906578
- Entity Type
- Individual
- Last Name
- Evans
- First Name
- Shannon
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- DPT
- Mailing Street Address
- 3767 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1040
- Mailing Country
- US
- Mailing Phone
- (716) 861-8961
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 861-8961
- Enumeration Date
- August 05, 2016
- Last Updated
- August 09, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)