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Jessi Shane, PTA
NPI 1174363055 · on the registry since 2024 · sole proprietor
Practice
- Address
- 386 Sw 811th Rd
Centerview, MO 64019 - Phone
- (409) 719-8036
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri