Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle L Shallow, PTA

Individual provider Physical Therapy Assistant · NPI 1497190904

Michelle L Shallow, PTA is a Physical Therapy Assistant in Marinette, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Phone: (715) 732-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 440 (WI)

Record details

NPI number1497190904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 10, 2013
Last updated in NPPESMay 10, 2013

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