Melanie Sue Shearer PTA

NPI 1619142585 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1619142585
Gender Female
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6501 N SHERIDAN RD
PEORIA IL, 61614-2932, US
Phone (309) 692-8110
Fax
Business Location
309 ARBOR VITAE DR
GERMANTOWN HILLS IL, 61548-9132, US
Phone (309) 383-2449
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160.000256
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According to our database, Mrs. Melanie Sue Shearer PTA NPI is 1619142585, taxonomy code is 225200000X and license number is 160.000256, license state is located at Illinois. Melanie Sue Shearer PTA physically located at 6501 N Sheridan Rd, Peoria IL, 61614-2932. NPI Number Melanie Sue Shearer PTA has the Individual type.

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1619142585 NPI number is provided on an as is basis without warranty of any kind. 1619142585 is maintained by the National Plan & Provider Enumeration System. The contents of Melanie Sue Shearer PTA are for informational purposes only.