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Individual

SHAYLA ELLINGBOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
(262) 567-4662
Mailing address
937 HOWARD ST, WAUKESHA, WI 53188-5603

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1917-19
WI

Other

Enumeration date
03/25/2014
Last updated
10/15/2025
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