Short, Mary

Short, Mary is an individual health care provider with primary practice located at 1405 Truax Blvd , Eau Claire WI 54703-1474. 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. Short, Mary can be contacted via phone (715) 552-1030.

Contact Information

Primary practice address
1405 Truax Blvd Eau Claire WI 54703-1474
Phone: (715) 552-1030
Fax: (715) 552-1033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 941 Wisconsin

Profile Details

NPI number 1871965848
LBN Legal business name Short, Mary
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Oct 29th, 2015 - about 11 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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