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NPI Code Detail

MEDICARE: GUY LINWOOD SHELTON PT

MEDICARE: GUY LINWOOD SHELTON PT
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
1225100000XPhysical Therapist500NE
2225100000XPhysical Therapist3070IA

General Provider Information

NPI Number : 1629038666
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUY LINWOOD SHELTON PT
Provider Business Mailing Address
First Line : 9701 YATES ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-5661
Country : US
Telephone Number : 402-391-4312
Fax Number :
Provider Business Practice Location Address
First Line : 7818 DODGE ST
Second Line :
City : OMAHA
State : NE
Zip : 68114-3412
Country : US
Telephone Number : 402-493-6808
Fax Number : 402-493-6979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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Directions to “ GUY LINWOOD SHELTON PT” Practice Location

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