Individual
MS. SHELBY BLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1050 35TH LN, PUEBLO, CO 81006-9426
(719) 948-3351
Mailing address
2726 ATLANTA AVE, PUEBLO, CO 81003-1341
(719) 251-3631
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0000578
CO
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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