MEDICARE: DE LA SHEY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224900000X	Mastectomy Fitter

General Provider Information

NPI Number	:	1649010984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DE LA SHEY CORP

Provider Business Mailing Address
First Line	:	PO BOX 462601
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80046-2601
Country	:	US
Telephone Number	:	303-993-8725
Fax Number	:	303-993-8746

Provider Business Practice Location Address
First Line	:	22085 E ONTARIO DR UNIT 1618
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-6057
Country	:	US
Telephone Number	:	303-993-8725
Fax Number	:	303-993-8746

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	RAMONA DEVAHSHEY DAVIS
Credential	:	MASTECTOMY FITTER
Telephone Number	:	832-713-3668

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	12/19/2025

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Directions to “DE LA SHEY CORP ” Practice Location

Language	Start Address	Practice Location

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