DR. Michael Shane Gosnell, PT, DPT

NPI #1699020305 in Mattoon, Illinois

Provider Information

NPI Number: 1699020305
Entity Type: Individual
Name: DR. Michael Shane Gosnell, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 18, 2012
Last Updated: Jul 18, 2012

Practice Location

Address: 804 S 16TH ST
City: Mattoon
State: Illinois
ZIP Code: 61938-5620
Phone: (217) 460-0910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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