Healthcare Provider Details

I. General information

NPI: 1275687311
Provider Name (Legal Business Name): SHELLY ANN SKOVGAARD P.T., C.M.T.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELLY HORRELL PT

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 02/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CURATIVE THERAPY SERVICES 1000 NORTH 92ND STREET
MILWAUKEE WI
53226
US

IV. Provider business mailing address

CURATIVE THERAPY SERVICES 1000 NORTH 92ND STREET
MILWAUKEE WI
53226
US

V. Phone/Fax

Practice location:
  • Phone: 414-479-9270
  • Fax: 914-253-4055
Mailing address:
  • Phone: 414-479-9270
  • Fax: 914-253-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10251-024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: