Individual
ISAAC L SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 838-7509
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014821A
IN
Other
Enumeration date
09/22/2022
Last updated
10/27/2022
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