MR. Ian Brooks Shadle, DPT, ATC, CSCS

NPI #1205310968 in Sewickley, Pennsylvania

Provider Information

NPI Number: 1205310968
Entity Type: Individual
Name: MR. Ian Brooks Shadle, DPT, ATC, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, ATC, CSCS
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 2591 WEXFORD BAYNE RD STE 107
City: Sewickley
State: Pennsylvania
ZIP Code: 15143-8676
Phone: (724) 934-1988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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