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Contact Information

SHANNON M IRISH, PT
105 EDWARDS VILLAGE BLVD
SUITE G201
EDWARDS, CO81632
 Phone: 970-306-8609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHANNON M IRISH · (Female)

NPI # 1083993166
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/08/2011
Last updated 10/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 7586
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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