Maixner, Shannon

Maixner, Shannon is an individual health care provider with primary practice located at 688 Wildwood Rd , Mahtomedi MN 55115-1812. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maixner, Shannon can be contacted via phone (651) 429-9947.

Contact Information

Primary practice address
688 Wildwood Rd Mahtomedi MN 55115-1812
Phone: (651) 429-9947
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4723 Minnesota

Profile Details

NPI number 1861583379
LBN Legal business name Maixner, Shannon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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