Provider Demographics
NPI:1275687311
Name:SKOVGAARD, SHELLY ANN (PT, CMTPT)
Entity type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:ANN
Last Name:SKOVGAARD
Suffix:
Gender:F
Credentials:PT, CMTPT
Other - Prefix:MS
Other - First Name:SHELLY
Other - Middle Name:
Other - Last Name:HORRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:CURATIVE THERAPY SERVICES
Mailing Address - Street 2:1000 NORTH 92ND STREET
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-479-9270
Mailing Address - Fax:914-253-4055
Practice Address - Street 1:CURATIVE THERAPY SERVICES
Practice Address - Street 2:1000 NORTH 92ND STREET
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-479-9270
Practice Address - Fax:914-253-4055
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10251-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40464800Medicaid
WI1891711008OtherCLINIC NPI#