Individual
SHANNON ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
(317) 776-6095
Mailing address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008779
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200801180
—
IN
Enumeration date
10/31/2006
Last updated
04/21/2010
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