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

Shannon Marie Petersen, PT

Individual provider Physical Therapist · NPI 1619969383

Shannon Marie Petersen, PT is a Physical Therapist in Des Moines, Iowa. Licensed in Iowa. Registered with an NPI since 2005.

Licensed in
IA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3200 Grand Ave
Des Moines, IA 50312-4104
Phone: (515) 271-1717
Fax: (515) 271-7185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02411 (IA)

Record details

NPI number1619969383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESMarch 4, 2010

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