MEDICARE: SHEILA ANN LINDELL BA, LMT

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
1	171W00000X	Contractor	3686-046	WI

General Provider Information

NPI Number	:	1699925305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA ANN LINDELL BA, LMT

Provider Business Mailing Address
First Line	:	800 WISCONSIN ST
Second Line	:	SUITE 414
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-3588
Country	:	US
Telephone Number	:	715-552-1441
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WISCONSIN ST
Second Line	:	MAILBOX 14
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-3588
Country	:	US
Telephone Number	:	715-552-1441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2008
Last Update Date	:	09/30/2008

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