Healthcare Provider Details

I. General information

NPI: 1154099166
Provider Name (Legal Business Name): SHELBIE ANNE LOUWAGIE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 CARLSON ST STE 200
MARSHALL MN
56258-2626
US

IV. Provider business mailing address

500 CROSS ST
BIG STONE CITY SD
57216-8237
US

V. Phone/Fax

Practice location:
  • Phone: 507-532-3393
  • Fax:
Mailing address:
  • Phone: 605-541-1140
  • Fax: 605-541-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4863
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: