Provider Demographics
NPI:1649347766
Name:OYLER, SHAUNA R (PT)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:R
Last Name:OYLER
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:R
Other - Last Name:CARLISLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:
Practice Address - Street 1:3252 RIDGE PT
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-5312
Practice Address - Country:US
Practice Address - Phone:563-332-4995
Practice Address - Fax:563-332-4950
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070012198225100000X
IA077423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist