Kevin Shaddock, DPT
NPI #1568940617 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1568940617
- Entity Type
- Individual
- Name
- Kevin Shaddock, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Geriatrics
- Credential
- DPT
- Enumeration Date
- Jul 31, 2018
- Last Updated
- Jul 31, 2018
Practice Location
- Address
- 816 A1A N STE 307
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-3219
- Phone
- (402) 190-4543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
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Organizations
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|---|---|
| Advanced Therapy Concepts | AI Deep Dive |
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