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NPI Code Detail

MEDICARE: DEBORAH SHELLEY

MEDICARE: DEBORAH SHELLEY
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1851523757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH SHELLEY
Provider Business Mailing Address
First Line : 1222 NORTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-772-2957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2009
Last Update Date : 08/12/2009

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Directions to “ DEBORAH SHELLEY ” Practice Location

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