Individual
MS. JEANNE MARIE SHILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 527-4390
(608) 527-4392
Mailing address
601 PFLAUM RD, MADISON, WI 53716-2164
(608) 527-4390
(608) 527-4392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
936-19
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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