Individual
SHELBY NICOLE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1700 E BOGARD RD, WASILLA, AK 99654-6563
(907) 376-4325
Mailing address
1380 N INDIAN HILL CIR, APT C, WASILLA, AK 99654-5775
(612) 803-0582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2640
AK
Other
Enumeration date
08/09/2013
Last updated
05/19/2016
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