SearchTexasOther Technician

Michael Shannon, ATP

NPI 1922480326 · on the registry since 2015 · sole proprietor

Practice

Address
12406 State Highway 155 S
Tyler, TX 75703
Phone
(903) 592-8931
Fax
(903) 592-8922
Organisation at this address
Access2mobility, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Other Technician
247200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-28

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 Texas