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

Individual provider Athletic Trainer · NPI 1447464557

Shannon Leigh Blum, ATC, PTA is an Athletic Trainer in Festus, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1120 W Commerce Dr Ste 100
Festus, MO 63028-2392
Phone: (636) 224-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21964 Hightway 32, Ste. Genevieve, MO 63670 — (573) 883-9366

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2019027232 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 113979 (MO)

Record details

NPI number1447464557
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , PTA
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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