Shannon Mcnichols, PT is a
Physical Therapist based in Harrisville, Michigan. Shannon Mcnichols is licensed to practice in Virginia (license number 2305209223) and her current practice location is
4635 E Clark Rd, Harrisville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 335-1648.
NPI number for Shannon Mcnichols is 1881050532 and her current mailing address is 4635 E Clark Rd, Harrisville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881050532.
Healthcare Provider's Profile
| Full Name | Shannon Mcnichols |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
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| Location | 4635 E Clark Rd, Harrisville, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881050532
- Provider Enumeration Date: 01/11/2016
- Last Update Date: 01/11/2016
Medical Identifiers
Medical identifiers for Shannon Mcnichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881050532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 2305209223 (Virginia) | Primary |
| 225100000X | Physical Therapist | 1252048 (Texas) | Secondary |
| 225100000X | Physical Therapist | PTL.0013668 (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Mcnichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Mcnichols, PT 4635 E Clark Rd, Harrisville, MI 48740-9796 Ph: (989) 335-1648 | Shannon Mcnichols, PT 4635 E Clark Rd, Harrisville, MI 48740-9796 Ph: (989) 335-1648 |
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