Michelle Susann Shegogue | Fredericksburg, VA • PECOS Search

Michelle Susann Shegogue

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

10401 Spotsylvania Ave, Suite 201, Fredericksburg, VA 22408-8606

(540) 741-3770 (540) 775-4991

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Susann Shegogue does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1366658338
Provider Type
Individual
Full Name
Shegogue, Michelle Susann
Title
Mrs.
Credential
MSPT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/15/2007
Last Updated
7/8/2007

Contact Information

Practice Location

10401 Spotsylvania Ave, Suite 201, Fredericksburg, VA 22408-8606

(540) 741-3775

Mailing Location

8494 Gray Fox Ln, King George, VA 22485-3571

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 2305204825 Virginia