Individual
SHELLEY EILEEN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2222 RIETH BLVD, GOSHEN, IN 46526-5868
(574) 875-9616
Mailing address
21529 MAPLE GLEN DR, EDWARDSBURG, MI 49112-8700
(574) 250-5089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010981A
IN
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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