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

Susan Irene Gillette, PTA

Individual provider Physical Therapy Assistant · NPI 1063149474

Susan Irene Gillette, PTA is a Physical Therapy Assistant in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-7370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3202-19 (WI)

Record details

NPI number1063149474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 3, 2022

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