Individual
SHARI ANN DELISLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, LAT
Contact information
Practice address
116 N MAIN ST, SHAWANO, WI 54166-2356
(715) 526-7373
Mailing address
W6963 OLD LAKE RD, SHAWANO, WI 54166-1317
(715) 524-2484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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