Individual
MR. WAYNE L. SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
317 W CENTER ST, SPANISH FORK, UT 84660-2024
(801) 798-9100
(801) 798-2902
Mailing address
317 W CENTER ST, SPANISH FORK, UT 84660-2024
(801) 798-9100
(801) 798-2902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22-105815-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009326101
SELECT HEALTH INSURANCE
UT
01
—
19942
DMBA INSURANCE COMPANY
UT
01
—
3006
PEHP INSURANCE COMPANY
UT
01
—
4525932
AETNA INSURANCE COMPANY
—
01
—
52191
HEALTH CHOICE INSURANCE
UT
01
—
560223
CIGNA INSURANCE COMPANY
—
01
—
87726
UNITIED HEALTH CARE INSUR
UT
01
—
P00160047UT009
RAIL ROAD MEDICARE
UT
01
—
QMXAF02280
ALTIUS INSURANCE COMPANY
UT
Enumeration date
07/19/2006
Last updated
08/08/2011
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