Individual provider · Type 1 NPI

Alise Shore

Physical Therapy Assistant · Stanley, WI

NPI number 1851365761 Active

Practice location

1120 Pine St
Stanley, WI 54768-0220

Fax (715) 644-6183

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X604-019 (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 1851365761

Alise Shore's National Provider Identifier is 1851365761, issued on Feb 15, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Stanley, WI. The record was last updated on Jul 13, 2026.