Individual
MR. SCOTT PATRICK SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
111 BETHEL ST NE, OLYMPIA, WA 98506-4365
(360) 596-7532
Mailing address
1722 22ND AVE SE, OLYMPIA, WA 98501-3022
(808) 218-4802
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
60976955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3738549
PERSONAL
—
Enumeration date
08/22/2019
Last updated
11/27/2023
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