Individual
CARRISSA SHEA ERDELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
202 E CHEYENNE MOUNTAIN BLVD STE N, COLORADO SPRINGS, CO 80906-3769
(719) 533-1318
(719) 533-1319
Mailing address
202 E CHEYENNE MOUNTAIN BLVD STE N, COLORADO SPRINGS, CO 80906-3769
(719) 533-1318
(719) 533-1319
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL.0016718
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000179216
—
CO
Enumeration date
11/18/2019
Last updated
04/02/2025
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