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

Shantil Dickerson

Individual provider Physical Therapist · NPI 1689112039

Shantil Dickerson is a Physical Therapist in Richmond, Indiana. Works from 2 locations. Licensed in Indiana and Ohio.

Licensed in
IN, OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

22 NW 11th St
Richmond, IN 47374
Phone: (330) 716-2285
Show map & directions

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

Additional practice locations (1)

  • 550 Hallmark Dr, Eaton, OH 45320-8648 — (937) 456-4181

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016442 (OH)
Physical Therapist Taxonomy 225100000X · Licence 05012095A (IN)

Record details

NPI number1689112039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESAugust 1, 2018

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