Shane Stachura, PT, MPT
NPI 1013154350 · Physical Therapist · Cissna Park, IL
Shane Stachura, PT, MPT is a Physical Therapist provider in Cissna Park, IL (NPI 1013154350).
Provider details
- NPI number
- 1013154350
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, MPT
- Sex
- Male
- Sole proprietor
- No
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.