Individual
DR. SHANE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
559 VINCENT ST, ATTN: 21 MDOS/SGOF - FAM HLTH, PETERSON AFB, CO 80914-1540
(719) 526-2273
(877) 813-1756
Mailing address
559 VINCENT ST, ATTN: 21 MDOS/SGOF - FAM HLTH, PETERSON AFB, CO 80914-1540
(719) 526-2273
(877) 813-1756
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0016363
CO
Other
Enumeration date
10/15/2015
Last updated
02/11/2021
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