Shannon Larson, R.D.H

NPI 1558751180 · on the registry since 2015 · sole proprietor

Practice

Address: 119 S State St
Shelby, MI 49455
Phone: (231) 861-2130
Fax: (231) 861-4964
Organisation at this address: Northwest Michigan Health Services Inc.
Northwest Michigan Health Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-03

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 Michigan