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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IAN BROOKS SHADLE, DPT, ATC, CSCS

Active

MR. IAN BROOKS SHADLE, DPT, ATC, CSCS is a Physical Therapy Assistant healthcare provider located in SEWICKLEY, Pennsylvania. NPI 1205310968 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SEWICKLEY, PA

Registration Details

NPI Number
1205310968
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2018 (7.9176160747036 yrs)
Last Updated
Sep 19, 2018
License
PT027289 (PA)

Practice Information

Address
2591 WEXFORD BAYNE RD STE 107
SEWICKLEY, PA, 151438676
Browse PA providers · Browse ZIP 15143
Phone
7249341988
Fax
7249341999
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SEWICKLEY, PA

Name Credential NPI
MR. OMAR A ROSS P.T. 1063469526
STEPHEN J KOLENDA MPT 1942245105
SUSAN C CLINTON PT 1568567048
MS. GAYLE DAVIS L.P.T. 1679642052
REBECCA M MEEHAN PT 1205999786
MEGAN MAE ASHEAD PT 1376676999
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.