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Contact Information

KELSEY C SHUTTER
500 EAST VETERANS STREET
TOMAH, WI54660
 Phone: 608-372-3971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KELSEY C SHUTTER · (Female)

NPI Number 1538687835
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2017
Last updated 09/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4948
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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