NPI 1629399811

Edward John Sheehan

Practitioner Mechanotherapist Freeport, IL

Practice location

Address: 1751 S Galena Ave Lot 31, Freeport, IL 61032-2529
Phone: (815) 312-2895

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 227.006245 (IL)

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Registry record

NPI: 1629399811
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2010
Record last updated: 22 Jun 2010

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.