Individual
MS. KATHY LOUISE SHEBESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2626 N 76TH ST, SUITE 105, WAUWATOSA, WI 53213
(414) 774-7794
(414) 607-3971
Mailing address
2626 N 76TH ST, SUITE 105, WAUWATOSA, WI 53213
(414) 774-7794
(414) 607-3971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
785024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40126200
—
WI
Enumeration date
09/16/2006
Last updated
07/08/2007
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