NPI 1255270138

Isabelle N Shoup, PTA

Practitioner Physical Therapy Assistant South Lyon, MI

Practice location

Address: 22180 Pontiac Trl STE E, South Lyon, MI 48178-9097
Phone: (248) 446-0155
Fax: (248) 446-0177

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502006457 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1255270138
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2026
Record last updated: 26 Mar 2026

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.