Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Halstead

Individual provider Physical Therapist · NPI 1104389980

Shannon Halstead is a Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019

Practice location Address checks out

4202 N 20th Ave
Phoenix, AZ 85015-5101
Phone: (602) 264-3824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-008573 (AZ)

Record details

NPI number1104389980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 9, 2019

Other providers in Phoenix