Provider Demographics
NPI:1427231869
Name:WALLER, SHEILA J (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:J
Last Name:WALLER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:50 27TH ST W
Mailing Address - Street 2:SUITE B
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-8601
Mailing Address - Country:US
Mailing Address - Phone:406-651-9099
Mailing Address - Fax:406-651-4332
Practice Address - Street 1:50 27TH ST W
Practice Address - Street 2:SUITE B
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8601
Practice Address - Country:US
Practice Address - Phone:406-651-9099
Practice Address - Fax:406-651-4332
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT500PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist