Healthcare Provider Details

I. General information

NPI: 1851224604
Provider Name (Legal Business Name): DEBRA SHUFELT OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24617 75TH ST
SALEM WI
53168-8831
US

IV. Provider business mailing address

134 HAMMES DR
MOUNT PLEASANT WI
53406-3114
US

V. Phone/Fax

Practice location:
  • Phone: 262-498-7511
  • Fax:
Mailing address:
  • Phone: 262-498-7511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number939-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: