Individual
MRS. SHELLY ANN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
211 W 38TH ST, SCOTTSBLUFF, NE 69361-4616
(308) 633-2025
(308) 633-2029
Mailing address
211 W 38TH ST, SCOTTSBLUFF, NE 69361-4616
(308) 633-2025
(308) 633-2029
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
802
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025780200
—
NE
Enumeration date
05/16/2006
Last updated
09/05/2014
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