Doctor Name: | SHANNON ADCOCK |
NPI Number: | 1114003019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 05008779 |
Business Practice Address: | 18051 River Ave Suite 200 Noblesville, IN - 460627091 |
Business Phone Number: | 3177730002 |
Business Fax Number: | 3177766095 |
Mailing Address: | 18051 River Ave, Suite 200 NOBLESVILLE |
State: | IN |
Postal Code: | 460627091 |
Phone Number: | 3177730002 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05008779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |