Individual
MR. MATTHEW PATRICK SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2121 MESA DR, BOULDER, CO 80304-3621
(720) 565-2693
Mailing address
12525 WINONA CT, BROOMFIELD, CO 80020-5773
(720) 565-2693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8292
CO
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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