| Doctor Name: | MRS. SHANNON LEE UTESCH |
| NPI Number: | 1588609036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T |
| License Number: | 5219-024 |
| Business Practice Address: | 500 E Veterans St Tomah, WI - 546603105 |
| Business Phone Number: | 6083723971 |
| Business Fax Number: | 6083727798 |
| Mailing Address: | 25460 County Hwy Et, TOMAH |
| State: | WI |
| Postal Code: | 546608500 |
| Phone Number: | 6083433708 |
| Fax Number: | 6083727798 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5219-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |