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Organization

PELVIC THERAPY SPECIALISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA KAY SHEVLIN DPT (PRESIDENT/CEO)
(303) 601-7495
Entity
Organization

Contact information

Practice address
5377 MANHATTAN CIR, SUITE #104, BOULDER, CO 80303-4333
(303) 601-7495
Mailing address
4770 BASELINE RD STE 120, BOULDER, CO 80303-2667
(303) 601-7495

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261QP2000X
Physical Therapy Clinic/Center
8348
CO
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
12/17/2007
Last updated
07/07/2023
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