Search › Indiana › 171400000X
Roosevelt Shuler, COACH
NPI 1861271215 · on the registry since 2023 · sole proprietor
Practice
- Address
- 709 Van Buren St # B
Gary, IN 46402 - Phone
- (219) 616-3067
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-25
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