Individual
BROOKE SHELQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
125 N 1ST ST, CARLISLE, IA 50047-7810
(515) 989-0100
(515) 989-0195
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004759
IA
Other
Enumeration date
06/16/2011
Last updated
01/24/2013
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