# SHAUNA NOELCKE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902252679
- **Authorized official:** SHAUNA NOELCKE DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (937) 430-2436

## Contact information

- **Practice address:** 45 SYCAMORE AVE APT 1112, CHARLESTON, SC 29407-6732
- **Practice address phone:** (937) 430-2436
- **Mailing address:** 45 SYCAMORE AVE APT 1112, CHARLESTON, SC 29407-6732
- **Mailing address phone:** (937) 430-2436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7144 | SC | Yes |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 05/11/2016