Shannan C Vincent, PT
Physical Therapist in South Bend, IN. Individual provider (NPI-1).
NPI number1982249090
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1982249090
- Entity type
- Individual (NPI-1)
- Name
- Shannan C Vincent
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2019
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05003605A | IN | Yes |
Practice location
3016 Portage AveSouth Bend, IN 46628-3501
Phone 574-272-9011
Mailing address
686 Forest CtNappanee, IN 46550-2831
Phone 574-773-0207
Other practice locations
1220 E Jackson Blvd
Elkhart, IN 46516-4419
Elkhart, IN 46516-4419
Phone 574-333-9747 · Fax 574-367-2369
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All 118 Physical Therapist providers in South Bend · All 3,973 providers in South Bend
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