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Individual
KELLY SHEPHERD
Active
Individual
KELLY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12148961-2401
UT
225100000X
Physical Therapist
12590
SC
225100000X
Physical Therapist
PTL.0020733
CO
Other
Enumeration date
02/25/2021
Last updated
08/27/2025
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