Shawna Gaye Colwell, LMT, LET

Individual provider Active NPI Mechanotherapist · Chillicothe, IL

NPI 1043461882 · NPPES record last updated Oct 9, 2008

Key facts

NPI
1043461882
Entity type
Individual (NPI type 1)
Primary specialty
Mechanotherapist 172M00000X
License
227000314 (IL)
Practice address
300 W Pine St Ste 2
Chillicothe, IL 61523-1849
Phone
(309) 657-7753
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
227000314ILMDMechanotherapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 227000314 IL Yes

Addresses

Primary practice location

300 W Pine St Ste 2
Chillicothe, IL 61523-1849

Mailing address

816 W Beech St
Chillicothe, IL 61523-1717
Phone (309) 657-7753

Other providers in Chillicothe, IL

All providers in Chillicothe, IL · Mechanotherapist in Illinois

Sources for this page

Verify at the official NPI Registry.