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Individual
MR. WAYNE L. SHELTON
Active
Individual
MR. WAYNE L. SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22-105815-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009326101
SELECT HEALTH INSURANCE
UT
01
—
19942
DMBA INSURANCE COMPANY
UT
01
—
3006
PEHP INSURANCE COMPANY
UT
01
—
4525932
AETNA INSURANCE COMPANY
—
01
—
52191
HEALTH CHOICE INSURANCE
UT
01
—
560223
CIGNA INSURANCE COMPANY
—
01
—
87726
UNITIED HEALTH CARE INSUR
UT
01
—
P00160047UT009
RAIL ROAD MEDICARE
UT
01
—
QMXAF02280
ALTIUS INSURANCE COMPANY
UT
Enumeration date
07/19/2006
Last updated
08/08/2011
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