Individual
SHELTON BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N KEENE ST, STE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
Mailing address
303 N KEENE ST, STE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014039416
MO
Other
Enumeration date
07/31/2014
Last updated
11/10/2014
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