Individual
SHELLY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
5265 N ACADEMY BLVD, SUITE 1400, COLORADO SPRINGS, CO 80918-4060
(719) 291-4006
Mailing address
5265 N ACADEMY BLVD, SUITE 1400, COLORADO SPRINGS, CO 80918-4060
(719) 291-4006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
853
CO
Other
Enumeration date
04/25/2011
Last updated
12/06/2021
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