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Individual

MR. WAYNE L. SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

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
Update your record

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