Shannon Marie Coulter, PT

NPI #1134338890 in Hartford, Wisconsin

Provider Information

NPI Number: 1134338890
Entity Type: Individual
Name: Shannon Marie Coulter, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 21, 2007
Last Updated: Dec 8, 2021

Practice Location

Address: 1032 E SUMNER ST
City: Hartford
State: Wisconsin
ZIP Code: 53027-1608
Phone: (262) 670-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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