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Search › Wisconsin › Physical Therapy Assistant

Kylie Colwell

NPI 1083592588 · on the registry since 2025

Practice

Address
1250 S Evergreen St
Shawano, WI 54166
Phone
(715) 526-3107
Organisation at this address
Evergreen Care Center Llc
Nsh Shawano-Evergreen Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 1475 Birch Hill Ln, Shawano, WI

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-22
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin