Individual
MR. BRETT SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
853 MEDICAL DR, SUITE 109, WENTZVILLE, MO 63385-3823
(970) 420-7864
Mailing address
121 WATERSIDE CROSSING DR, SAINT PETERS, MO 63376-7594
(970) 420-7864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012023658
MO
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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