Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Wallen

Individual provider Physical Therapy Assistant · NPI 1346660370

Shane Wallen is a Physical Therapy Assistant in Warsaw, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

900 Provident Dr
Warsaw, IN 46580-3252
Phone: (574) 371-2779
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06004508A (IN)

Record details

NPI number1346660370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESApril 24, 2014
Mailing address2069 E Wade Rd, Warsaw, IN 46580-7697

Other providers in Warsaw