Individual
MRS. MELINDA BETH SHELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1811 E BEAUMONT ST, PARK CITY, KS 67219-2420
(316) 260-2251
(316) 744-3152
Mailing address
1811 E BEAUMONT ST, PARK CITY, KS 67219-2420
(316) 260-2251
(316) 744-3152
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1701909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120069
BCBS PROVIDER NUMBER
KS
01
—
9452
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
07/27/2006
Last updated
05/28/2008
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