Individual
SHELLEY PRISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10487 W HAMPDEN AVE UNIT 1, LAKEWOOD, CO 80227-4490
(440) 969-0652
Mailing address
10487 W HAMPDEN AVE UNIT 1, LAKEWOOD, CO 80227-4490
(440) 969-0652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014338
CO
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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