NPI 1134326341

Shannon E Gill, PTA

Practitioner Physical Therapy Assistant Portage, IN

Practice location

Address: 6040 Lute Rd, Portage, IN 46368-5008
Phone: (219) 763-6858
Fax: (219) 763-4858
Mailing address: 8211 W 127th Ave, Cedar Lake, IN 46303-8873

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06001802A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1134326341
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.