Shannon Marie Brostad, PT
Physical Therapist in Des Moines, IA. Individual provider (NPI-1).
NPI number1477608917
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477608917
- Entity type
- Individual (NPI-1)
- Name
- Shannon Marie Brostad
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 03523 | IA | Yes |
Practice location
1801 Hickman RdDes Moines, IA 50314-1548
Phone 515-282-5621
Mailing address
4015 Fagen DrDes Moines, IA 50310-4047
Phone 515-276-6676
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All 219 Physical Therapist providers in Des Moines · All 6,858 providers in Des Moines
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