Individual
MICHELLE L SHALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Mailing address
4061 OLD PESHTIGO RD, PO BOX 0018, MARINETTE, WI 54143-3887
(715) 732-8000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
440
WI
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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