National Provider Identifier
Shannon Marie Smith, D.P.T.
Shannon Marie Smith, D.P.T. is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Buffalo, NY and a listed phone number of (716) 817-5220.
Profile Overview
- NPI
- 1528355864
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- July 07, 2011
- Last Updated
- February 12, 2013
Practice Location
- 4635 Union RD
- Buffalo, NY 14225-1851
Phone: (716) 817-5220
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1528355864
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Shannon
- Middle Name
- Marie
- Credential
- D.P.T.
- Mailing Street Address
- 4635 Union RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1851
- Mailing Country
- US
- Mailing Phone
- (716) 817-5220
- Mailing Fax
- (716) 633-9351
- Practice Street Address
- 4635 Union RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-1851
- Practice Country
- US
- Practice Phone
- (716) 817-5220
- Practice Fax
- (716) 633-9351
- Enumeration Date
- July 07, 2011
- Last Updated
- February 12, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)