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Shannon Megan Bulmer, PT, DPT

Physical Therapist in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1093232829
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1093232829
Entity type
Individual (NPI-1)
Name
Shannon Megan Bulmer
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2017
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist15149COYes

Other names

  • Shannon Megan Massine (Former Name)

Practice location

9320 Grand Cordera Pkwy Ste 125
Colorado Springs, CO 80924-7011

Phone 719-535-2757

Mailing address

9320 Grand Cordera Pkwy Ste 125
Colorado Springs, CO 80924-7011

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