Individual
DEANNA SHETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 WEIR DR, WOODBURY, MN 55125-2282
(651) 731-2286
Mailing address
16610 GALAXIE WAY, ROSEMOUNT, MN 55068-1943
(952) 431-6738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7290
LICENSE#
MN
Enumeration date
11/07/2006
Last updated
07/08/2007
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