# SHELLI DRY PEDIATRIC THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780943423
- **Authorized official:** DR. SHELLI DRY OTD, OTR/C (OWNER)
- **Authorized official phone:** (502) 797-4536

## Contact information

- **Practice address:** 40 LIZA'S CIR., SIMPSONVILLE, KY 40067
- **Practice address phone:** (502) 797-4536
- **Practice address fax:** (502) 384-8386
- **Mailing address:** 40 LIZAS CIR, SIMPSONVILLE, KY 40067-5601
- **Mailing address phone:** (502) 797-4536
- **Mailing address fax:** (502) 384-8386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | R2278 | KY | Yes |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 05/29/2024