NPI 1487116901

Shantell Elizabeth Lodwick, PTA

Practitioner Physical Therapy Assistant Herrin, IL

Practice location

Address: 201 S 14th St, Herrin, IL 62948-3631
Phone: (618) 942-2171

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1487116901
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2019
Record last updated: 3 Apr 2019

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.