Shayla Ellingboe

NPI #1770900987 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1770900987
Entity Type: Individual
Name: Shayla Ellingboe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 25, 2014
Last Updated: Oct 15, 2025

Practice Location

Address: 2195 N SUMMIT VILLAGE WAY
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-8675
Phone: (262) 567-4662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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