Shallow, Michelle L

Shallow, Michelle L is an individual health care provider with primary practice located at 4061 Old Peshtigo Rd , Marinette WI 54143-3887. 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. Shallow, Michelle L can be contacted via phone (715) 732-8000.

Contact Information

Primary practice address
4061 Old Peshtigo Rd Marinette WI 54143-3887
Phone: (715) 732-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 440 Wisconsin

Profile Details

NPI number 1497190904
LBN Legal business name Shallow, Michelle L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2013
Last updated May 10th, 2013 - about 12 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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