Individual provider · Type 1 NPI

Michelle L. Shallow, PTA

Physical Therapy Assistant · Marinette, WI

NPI number 1497190904 Active

Practice location

4061 Old Peshtigo Rd
Marinette, WI 54143-3887

Call (715) 732-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X440 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1497190904

Michelle L. Shallow, PTA's National Provider Identifier is 1497190904, issued on May 10, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Marinette, WI. The record was last updated on May 10, 2013.