Individual
SHANE TONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
905 FRANKLIN ST, WATERTOWN, WI 53094-7007
(920) 988-7668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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