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NPI Code Detail

MEDICARE: SHELBY HANDTKE

MEDICARE: SHELBY HANDTKE
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
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1992663215
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY HANDTKE
Provider Business Mailing Address
First Line : 3061 SPRINGLAND AVE APT 57
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-2871
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 WALL ST
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2537
Country : US
Telephone Number : 317-960-4052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ SHELBY HANDTKE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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