MRS. Shelby Marilyn Marie Kallio-Crotteau, PTA

NPI #1679054639 in Delavan, Wisconsin

Provider Information

NPI Number: 1679054639
Entity Type: Individual
Name: MRS. Shelby Marilyn Marie Kallio-Crotteau, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 27, 2018
Last Updated: Aug 27, 2018

Practice Location

Address: 905 E GENEVA ST
City: Delavan
State: Wisconsin
ZIP Code: 53115-1922
Phone: (262) 728-6319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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