NPI 1376721803

Shannon Jo Shillin, PTDPT

Practitioner Military Health Care Provider Milwaukee, WI

Practice location

Address: 5000 W National Ave, Milwaukee, WI 53295-0001
Phone: (414) 384-2000
Mailing address: 519 N 20th St APT 23, Milwaukee, WI 53233-2535

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Wisconsin →

Registry record

NPI: 1376721803
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2008
Record last updated: 6 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.