Johnn Walker Shuler
Individual provider Active NPI Physical Therapy Assistant · Warren, IN
NPI 1083005755 · NPPES record last updated Feb 16, 2015
Key facts
- NPI
- 1083005755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 99065907A (IN)
- Practice address
- 801 Huntington Ave
Warren, IN 46792-9402 - Phone
- (260) 375-2201
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 99065907A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 99065907A | IN | Yes |
Addresses
Primary practice location
801 Huntington Ave
Warren, IN 46792-9402
Mailing address
801 Huntington Ave
Warren, IN 46792-9402
Phone (260) 375-2201
Other providers in Warren, IN
- Midwest Eye Consultants, P.C.
- Christie Mielke
- Deborah L Miller
- Kristen Mills
- Judith A Ripperger
- Harrison Smith
- Jessica Smith
- Lindsey Stephens
- Ella Kay Stoller
- Terry R Daniels
All providers in Warren, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.