Provider Demographics
NPI:1083941280
Name:NEUMANN, SHANNON L (LPT)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:L
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11357 DORAN RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9711
Mailing Address - Country:US
Mailing Address - Phone:419-877-9292
Mailing Address - Fax:
Practice Address - Street 1:11357 DORAN RD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571-9711
Practice Address - Country:US
Practice Address - Phone:419-877-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCP022490T225100000X
OHPT-009741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist