MEDICARE: SHANETTE RATTLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	372500000X	Chore Provider		WI

General Provider Information

NPI Number	:	1952266322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANETTE RATTLER

Provider Business Mailing Address
First Line	:	2107 N 36TH ST UPPR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 N 36TH ST UPPR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1406
Country	:	US
Telephone Number	:	414-367-7150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/26/2025

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Directions to “ SHANETTE RATTLER ” Practice Location

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