IndividualActive
Shannon Barlow, PT
NPI 1457083487 · Pediatric Rehabilitation Medicine Physician · Pocatello, ID
Provider details
- NPI number
- 1457083487
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT-1900 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
1001 N 7th Ave Ste 205
Pocatello, ID 83201-5761
Phone: (208) 239-1490
Fax: (208) 239-1794
Approximate (ZIP-level) locationGet directions
Mailing address
1001 N 7th Ave Ste 280
Pocatello, ID 83201-5788
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.