Individual provider · Type 1 NPI

Shannon Leigh Blum, ATC, PTA

Physical Therapy Assistant · Festus, MO

NPI number 1447464557 Active

Practice location

1120 W Commerce Dr Ste 100
Festus, MO 63028-2392

Mailing address

647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032

Other practice locations

  • 21964 Hightway 32, Ste Genevieve, MO 63670 · (573) 883-9366

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X113979 (MO)
Physical Therapy Assistant Primary 225200000X2019027232 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

5 other providers at this address

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About NPI 1447464557

Shannon Leigh Blum, ATC, PTA's National Provider Identifier is 1447464557, issued on May 9, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Festus, MO. The record was last updated on Sep 13, 2023.