NPI 1508402652

Joshua Sheldon, PTA

Practitioner Physical Therapy Assistant Herrin, IL

Practice location

Address: 510 Lincoln Dr, Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187

Registered specialties

Physical Therapy Assistant Primary

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

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Registry record

NPI: 1508402652
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 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.