SearchIndianaPhysical Therapy Assistant

Shane Wallen

NPI 1346660370 · on the registry since 2014

Practice

Address
900 Provident Dr
Warsaw, IN 46580
Phone
(574) 371-2779
Organisation at this address
Riverview Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana