National Provider Identifier

Shannon Marie Van Heck, PT, D.P.T.

Shannon Marie Van Heck, PT, D.P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 271-0761.

NPI 1841705084Rochester, NYPhysical Therapist

Profile Overview

NPI
1841705084
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 11, 2017
Last Updated
October 07, 2020

Practice Location

  • 1000 Elmwood Ave Ste 100
  • Rochester, NY 14620-3042

Phone: (585) 271-0761

Mailing Address

  • 1000 Elmwood Ave Ste 100
  • Rochester, NY 14620-3093

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1841705084
Entity Type
Individual
Last Name
Van Heck
First Name
Shannon
Middle Name
Marie
Credential
PT, D.P.T.
Mailing Street Address
1000 Elmwood Ave Ste 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3093
Mailing Country
US
Mailing Phone
(585) 271-0761
Practice Street Address
1000 Elmwood Ave Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3042
Practice Country
US
Practice Phone
(585) 271-0761
Enumeration Date
December 11, 2017
Last Updated
October 07, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 07, 2020
Taxonomies
Physical Therapist (225100000X)