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General NPI Number Information
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NPI Number | 1871443606
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Entity Type | Organization
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Legal Business Name | SHANNON HAFERMANN PHYSICAL THERAPY AND PELVIC HEALTH LLC
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 412 APLETS WAY UNIT 105
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City | CASHMERE
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State | WA
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Zip | 98815-1029
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Country | US
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Telephone | 509-433-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 167 CROSS CREEK LN
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City | LEAVENWORTH
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State | WA
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Zip | 98826-4530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND AUTHORIZED OFFICIAL
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Name | SHANNON HAFERMANN
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Credential | PT
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Telephone | 509-433-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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