Butt, Shelly

Butt, Shelly is an individual health care provider with primary practice located at 313 Stoughton Rd , Edgerton WI 53534-1132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Butt, Shelly can be contacted via phone (608) 884-1390.

Contact Information

Primary practice address
313 Stoughton Rd Edgerton WI 53534-1132
Phone: (608) 884-1390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 126-019 Wisconsin

Profile Details

NPI number 1235347907
LBN Legal business name Butt, Shelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235347907 NPPES
Wisconsin Other WISCONSIN LICENSE 126-019

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