Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN M SHANAHAN, PT, DPT
ActiveMR. BRYAN M SHANAHAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in HUNTLEY, Illinois. NPI 1124441282 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HUNTLEY, IL
Registration Details
- NPI Number
- 1124441282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2014 (12.551181087143 yrs)
- Last Updated
- Jul 31, 2014
- License
-
070.020448 (IL)
Practice Information
- Address
-
12531 REGENCY PKWYHUNTLEY, IL, 601426500Browse IL providers · Browse ZIP 60142
- Phone
- 8476591000
- Fax
- 8476591012
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HUNTLEY, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID M. BEUTEL | P.T. | 1902891443 |
| CHERYL A MOFFETT | MPT | 1376561423 |
| MICHAEL ULMER | P.T. | 1972632289 |
| EMILIE ULMER | P.T. | 1194857672 |
| NICOLE D. PUMP | DPT | 1770607533 |
| MRS. LOIDA KOZBIEL | MPT | 1689899114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.