Individual
SHONDA PERCIVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N MAIN ST, GUNNISON, CO 81230-2404
(970) 596-7970
Mailing address
45 CHISHOLM TRL, GUNNISON, CO 81230-9341
(970) 596-7970
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
06/11/2019
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