Individual
MRS. SHELLY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CES, RCEP
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Mailing address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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