Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTIL DICKERSON
ActiveSHANTIL DICKERSON is a Physical Therapy Assistant healthcare provider located in RICHMOND, Indiana. NPI 1689112039 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RICHMOND, IN
Registration Details
- NPI Number
- 1689112039
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2017 (9.5225723999407 yrs)
- Last Updated
- Aug 1, 2018
- Licenses
-
05012095A (IN)PT016442 (OH)
Practice Information
- Address
-
22 NW 11TH ST.RICHMOND, IN, 47374Browse IN providers · Browse ZIP 47374
- Phone
- 3307162285
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in RICHMOND, IN
| Name | Credential | NPI |
|---|---|---|
| COLLEEN JEANETTE WALTER | PT | 1851357636 |
| STEVEN EILERMAN | PT | 1801847256 |
| MR. JASON CONRAD RUSZNAK | PT | 1275554339 |
| AMY CULBERTSON | PT | 1013000280 |
| BRETT C FISCHER | MPT | 1982781902 |
| SARA J JAMES | PT | 1619055647 |
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.