Provider Demographics
NPI:1285731083
Name:HUNTER, SHANNON MCDONNELL (MSPT)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:MCDONNELL
Last Name:HUNTER
Suffix:
Gender:
Credentials:MSPT
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:EILEEN
Other - Last Name:MCDONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:801 WOODBURY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4514
Mailing Address - Country:US
Mailing Address - Phone:407-373-6082
Mailing Address - Fax:407-373-6083
Practice Address - Street 1:801 WOODBURY RD STE 103
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4514
Practice Address - Country:US
Practice Address - Phone:407-373-6082
Practice Address - Fax:407-373-6083
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22740225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist