IndividualActive
Damon Shanks, IDMT
NPI 1649503558 · Independent Duty Medical Technicians · Springfield, OH
Provider details
- NPI number
- 1649503558
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Practice location
5215 Fontaine Ln
Springfield, OH 45502-9816
Phone: (937) 525-2582
Fax: (937) 327-2387
Mailing address
5215 Fontaine Ln
Springfield, OH 45502-9816
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2009-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.