Individual provider · Type 1 NPI

Shannon Haddy

Rehabilitation Practitioner · Grass Valley, CA

NPI number 1881055879 Active

Practice location

145 Glasson Way
Grass Valley, CA 95945-5723

Call (530) 470-2425 Map

Other practice locations

  • 140 Litton Dr Ste 204, Grass Valley, CA 95945-5079 · (530) 715-6311

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1881055879

Shannon Haddy's National Provider Identifier is 1881055879, issued on Mar 17, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 3, 2026.