Individual
SHELLEY LACHNIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6385 CORPORATE DR STE 301, COLORADO SPRINGS, CO 80919-5913
(719) 380-1100
Mailing address
418 S WEBER ST, COLORADO SPRINGS, CO 80903-2127
(719) 380-1100
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL7380
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL7380
PHYSICAL THERAPY LICENSE
CO
Enumeration date
11/01/2013
Last updated
02/07/2022
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