Shallin Rose Niemyjski, PTA
NPI #1053054692 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1053054692
- Entity Type
- Individual
- Name
- Shallin Rose Niemyjski, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 211 S CURTIS ST
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2052
- Phone
- (262) 248-3148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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