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Contact Information

NICOLE M SHEPARD, PTA
1850 11TH ST AEGIS THERAPIES
FENNIMORE, WI53809
 Phone: 608-822-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for NICOLE M SHEPARD · (Female)

NPI # 1568980753
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/07/2017
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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