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

Mrs. Nicole Mirene Shepard, PTA

Individual provider Physical Therapy Assistant · NPI 1568980753

Mrs. Nicole Mirene Shepard, PTA is a Physical Therapy Assistant in Fennimore, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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

1850 11th St Aegis Therapies
Fennimore, WI 53809
Phone: (608) 822-6100
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1568980753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 7, 2017
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

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