Individual
MICHELLE LYNN SHELLHAAS
Active
Individual
MICHELLE LYNN SHELLHAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2820
NE
225100000X
Physical Therapist
6494
AZ
225100000X
Physical Therapist
9585
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025895900
—
NE
05
—
10025896000
—
NE
05
—
10025896100
—
NE
05
—
10025941700
—
NE
05
—
10026056700
—
NE
05
—
10026252200
—
NE
05
—
1417901562
—
IA
Enumeration date
05/22/2006
Last updated
12/30/2014
Update your record
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