| Shantil Dickerson, | |
|
22 Nw 11th St., Richmond, IN 47374 | |
| (330) 716-2285 | |
| Not Available |
| Full Name | Shantil Dickerson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 22 Nw 11th St., Richmond, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689112039 | NPI | - | NPPES |
| PENDING | Other | ANTHEM | |
| PENDING | Medicaid | IN | |
| PENDING | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05012095A (Indiana) | Secondary |
| 225100000X | Physical Therapist | PT016442 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shantil Dickerson, 1100 Reid Parkway, Medical Staff Services, Richmond, IN 47374-1157 Ph: (937) 456-4181 | Shantil Dickerson, 22 Nw 11th St., Richmond, IN 47374 Ph: (330) 716-2285 |
Amy Culbertson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 750 Chester Blvd, Richmond, IN 47374 Phone: 765-939-0820 Fax: 765-939-0920 | |
Mrudula Dora Lingala, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1326 S 18th St, Apt 49, Richmond, IN 47374 Phone: 603-479-8384 | |
Jarod Weaver, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Nw 11th St, Richmond, IN 47374 Phone: 937-681-4406 | |
Sorcha Cox, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2390 National Rd W, Richmond, IN 47374 Phone: 765-939-4871 | |
Marcel Y Oshikawa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Highland Rd, Suite 4, Richmond, IN 47374 Phone: 765-939-0820 Fax: 765-939-0920 | |
Courtney Denise Mathews, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 750 Chester Blvd, Richmond, IN 47374 Phone: 765-939-0820 | |
Grady Garno, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 Chester Blvd, Richmond, IN 47374 Phone: 765-983-3092 |