Individual
SHALANE VENICE HITCH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1035 SE 3RD ST, NEWTON, KS 67114-3904
(316) 992-5442
Mailing address
8979 BELLSONG DR, LITTLETON, CO 80125-1880
(316) 992-5442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-03451
KS
Other
Enumeration date
11/12/2012
Last updated
02/22/2023
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