Shelley Ann Defouw, LPT is a
Physical Therapist based in Douglas, Michigan. Shelley Ann Defouw is licensed to practice in Michigan (license number 5501005111) and her current practice location is
243 Wiley Rd, Douglas, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 857-2141.
NPI number for Shelley Ann Defouw is 1558852293 and her current mailing address is Po Box 217, Douglas, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558852293.
Healthcare Provider's Profile
Full Name | Shelley Ann Defouw |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 243 Wiley Rd, Douglas, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558852293
- Provider Enumeration Date: 05/29/2018
- Last Update Date: 05/29/2018
Medical Identifiers
Medical identifiers for Shelley Ann Defouw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558852293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5501005111 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley Ann Defouw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shelley Ann Defouw, LPT Po Box 217, Douglas, MI 49406-0217 Ph: (269) 857-2141 | Shelley Ann Defouw, LPT 243 Wiley Rd, Douglas, MI 49406-5108 Ph: (269) 857-2141 |
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