Individual
KELLY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(970) 482-5712
Mailing address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(970) 482-5712
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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