Provider Demographics
NPI:1346430865
Name:SNIGG, SHANNON (MPT)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:
Last Name:SNIGG
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21301 KUYKENDAHL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2611
Mailing Address - Country:US
Mailing Address - Phone:281-379-2102
Mailing Address - Fax:281-379-1760
Practice Address - Street 1:21301 KUYKENDAHL RD
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2611
Practice Address - Country:US
Practice Address - Phone:281-379-2102
Practice Address - Fax:281-379-1760
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist