Healthcare Provider Details

I. General information

NPI: 1730706128
Provider Name (Legal Business Name): SHENAE KAYLEEN ALBERTS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 BUTLER SPAETH RD
GILLETTE WY
82718-5483
US

IV. Provider business mailing address

1309 S SUMMIT AVE APT 4
NEWCASTLE WY
82701-2981
US

V. Phone/Fax

Practice location:
  • Phone: 307-686-8177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2226
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT-2032
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: