Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shane Stufflebeam

Individual provider Physical Therapist · NPI 1437067329

Shane Stufflebeam is a Physical Therapist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5009 N Glen Park Place Rd
Peoria, IL 61614-4677
Phone: (309) 683-8170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.040935 (IL)

Record details

NPI number1437067329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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