Search › Indiana › 225100000X

Shannan Vincent, PT

NPI 1982249090 · on the registry since 2019 · sole proprietor

Practice

Address
3016 Portage Ave
South Bend, IN 46628
Phone
(574) 272-9011
Clinicians at this address
5

Additional practice sites

  • 1220 E Jackson Blvd, Elkhart, IN

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana