Individual
KELSEY CLAIRE SHUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 EAST VETERANS STREET, TOMAH, WI 54660
(608) 372-3971
Mailing address
827 MAPLE GROVE ST, TOMAH, WI 54660-1225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4948
WI
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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