Search › Florida › 2251G0304X
Kevin Shaddock, DPT
NPI 1568940617 · on the registry since 2018 · sole proprietor
Practice
- Address
- 816 A1a N Ste 307
Ponte Vedra, FL 32082 - Phone
- (402) 190-4543
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2251G0304X
2251G0304X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-31
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 Florida