Individual
DR. SHANE MALECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS, CSCS
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
Update your record
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