Organization
SHELLY CHIROPRACTIC LLC
Active
Other names
Peformance Chiropractic and Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JOSEPH SHELLY D. C. (OWNER/PARTNER)
(985) 400-1633
Entity
Organization
Contact information
Practice address
17534 OLD JEFFERSON HWY, SUITE C2, PRAIRIEVILLE, LA 70769-3978
(985) 400-1633
Mailing address
17534 OLD JEFFERSON HWY, SUITE C2, PRAIRIEVILLE, LA 70769-3978
(985) 400-1633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1497
LA
Other
Enumeration date
02/19/2015
Last updated
03/03/2015
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