Individual provider · Type 1 NPI

Timothy M. Shannon, P.T.

Specialist · Lake Worth, FL

NPI number 1801832597 Active

Practice location

4801 S Congress Ave, Suite 301
Lake Worth, FL 33461-4746

Fax (561) 963-5600

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT 19887 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801832597

Timothy M. Shannon, P.T.'s National Provider Identifier is 1801832597, issued on Jun 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Worth, FL. The record was last updated on Jul 8, 2007.