Individual provider · Type 1 NPI
Shannon E. Glasow
Prosthetic/Orthotic Supplier · Simpsonville, SC
Practice location
210 NE Main St
Simpsonville, SC 29681-2318
Mailing address
655H Fairview Rd # 181
Simpsonville, SC 29680-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1154868941
Shannon E. Glasow's National Provider Identifier is 1154868941, issued on Jan 31, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Simpsonville, SC. The record was last updated on Feb 26, 2021.