Individual
SHELLY SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 AVENUE D, POWELL, WY 82435-2414
(307) 272-8397
Mailing address
632 AVENUE D, POWELL, WY 82435-2414
(307) 272-8397
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/11/2016
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