Shayne J Bollheimer

NPI #1346001963 in O Fallon, Illinois

Provider Information

NPI Number: 1346001963
Entity Type: Individual
Name: Shayne J Bollheimer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 1022 E WESLEY DR
City: O Fallon
State: Illinois
ZIP Code: 62269-6107
Phone: (618) 744-6613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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