Linnie Jane Shafer
Individual provider Active NPI Physical Therapy Assistant · Concordia, MO
NPI 1881368447 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1881368447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2008036682 (MO)
- Practice address
- 202 S West St
Concordia, MO 64020-9643 - Phone
- (660) 463-2267
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008036682 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2008036682 | MO | Yes |
Addresses
Primary practice location
202 S West St
Concordia, MO 64020-9643
Mailing address
7572 Summer Azure LN
Higginsville, MO 64037-8216
Phone (816) 695-6651
Other providers in Concordia, MO
- Jennifer L McCaslin
- Jerry L. Meyer
- Raymond Scott Nold
- Physical Therapy of Concordia Inc
- Daniel Rehmsmeyer RRT
- Douglas D Smith
- Morgan Toensing
- Jami Vandevort
- Warrensburg Optical Inc
- Waterfall Chiropractic LLC
All providers in Concordia, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.