Mcgrath, Shannon

Mcgrath, Shannon is an individual health care provider with primary practice located at 960 S Broadway Ave Ste 200 , Boise ID 83706-3667. 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. Mcgrath, Shannon can be contacted via phone (208) 433-9211.

Contact Information

Primary practice address
960 S Broadway Ave Ste 200 Boise ID 83706-3667
Phone: (208) 433-9211
Fax: (208) 433-9241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5422 Idaho

Profile Details

NPI number 1609375187
LBN Legal business name Mcgrath, Shannon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2018
Last updated Apr 20th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609375187 NPPES
Idaho MEDICAID 1609375187

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