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Shannon Wynn, DPT

Physical Therapist in Chandler, AZ. Individual provider (NPI-1).

NPI number1689340291
StatusActive
Last updated in NPPESJul 28, 2026

Details

NPI
1689340291
Entity type
Individual (NPI-1)
Name
Shannon Wynn
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2021
Certification date
Jul 28, 2026
Last updated
Jul 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistLPT-034826AZYes
2251X0800X Physical Therapist, OrthopedicLPT-034826AZ

Practice location

580 N 54th St Ste 1&2
Chandler, AZ 85226-2555

Phone 702-556-1163

Mailing address

9010 S Priest Dr Apt 3170
Tempe, AZ 85284-1128

Phone 702-556-1163

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