Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHANE GOSNELL, PT, DPT
ActiveDR. MICHAEL SHANE GOSNELL, PT, DPT is a Physical Therapy Assistant healthcare provider located in MATTOON, Illinois. NPI 1699020305 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MATTOON, IL
Registration Details
- NPI Number
- 1699020305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2012 (14.056200425826 yrs)
- Last Updated
- Jul 18, 2012
- License
-
070018869 (IL)
Practice Information
- Address
-
804 S 16TH STMATTOON, IL, 619385620Browse IL providers · Browse ZIP 61938
- Phone
- 2174600910
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD WARREN KRUCKEBERG | P.T., O.C.S., C.H.T. | 1245362920 |
| MARK MASSE | PT, MHS | 1801912167 |
| MS. SARA N MASSE | MPT | 1568588838 |
| LISA K CLAPP | — | 1376663039 |
| SARAH HOPKINS | — | 1811016611 |
| ANDREA YURS | — | 1457470288 |
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.