IndividualActive
Shannon Stoddard, PTA
NPI 1508048695 · Physical Therapy Assistant · Keizer, OR
Provider details
- NPI number
- 1508048695
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 8017 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5300 River Rd N
Keizer, OR 97303-4428
Phone: (503) 570-3665
Fax: (503) 570-9155
Approximate (ZIP-level) locationGet directions
Mailing address
275 Lakepoint Pl N
Keizer, OR 97303-8317
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2007-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.