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

Individual provider Physical Therapist · NPI 1063119683

Shannon Ryan Whitman, PHYSICALTHERAPIST is a Physical Therapist in Saint Joseph, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709
Phone: (269) 235-9083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 — (630) 793-8404

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MI)

Record details

NPI number1063119683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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