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Individual

DR. SHANE MALECHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MS, CSCS

Contact information

Practice address
1514 SOMERSET DR, BEECHER, IL 60401-3436
(779) 771-3322
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
(352) 565-5201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.015555
IL
225100000X
Physical Therapist
7346
MN
2251G0304X
Geriatric Physical Therapist
Primary
070.015555
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70015555
PHYSICAL THERAPY LICENSE
IL
01
7346
PHYSICAL THERAPY LICENSE
MN
Enumeration date
04/03/2007
Last updated
02/02/2026
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