Individual
AUSTIN JEREMIAH SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Mailing address
303 WAYNE RD, ROCHELLE, IL 61068-9043
(815) 677-1508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007157
IL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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