Individual
TIMOTHY SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
701 DELAWARE AVE UNIT E, LONGMONT, CO 80501-6498
(720) 204-4567
Mailing address
701 DELAWARE AVE UNIT E, LONGMONT, CO 80501-6498
(720) 204-4567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015405
CO
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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