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Shannon S Tanzer, PT

Physical Therapist in Chippewa Falls, WI. Individual provider (NPI-1).

NPI number1154468643
StatusActive
Last updated in NPPESDec 28, 2021

Details

NPI
1154468643
Entity type
Individual (NPI-1)
Name
Shannon S Tanzer
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2007
Certification date
Dec 28, 2021
Last updated
Dec 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist6032024WIYes

Practice location

2509 County Highway I
Chippewa Falls, WI 54729-2785

Phone 920-496-4700

Mailing address

Po Box 19070
Green Bay, WI 54307-9070

Phone 920-496-4700

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