Shepard, Nicole Mirene

Shepard, Nicole Mirene is an sole proprietor health care provider with primary practice located at 1850 11Th St Aegis Therapies , Fennimore WI 53809. 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. Shepard, Nicole Mirene can be contacted via phone (608) 822-6100.

Contact Information

Primary practice address
1850 11Th St Aegis Therapies Fennimore WI 53809
Phone: (608) 822-6100
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1568980753
LBN Legal business name Shepard, Nicole Mirene
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2017
Last updated Jun 29th, 2021 - about 5 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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