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Individual

MRS. SHELLEY SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1309 HARRISON AVE, BUTTE, MT 59701-4801
(406) 782-5887
(406) 782-8772
Mailing address
1309 HARRISON AVE, BUTTE, MT 59701-4801
(406) 782-5887
(406) 782-8772

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
786PT
MT
2251X0800X
Orthopedic Physical Therapist
Primary
786PT
MT

Other

Enumeration date
10/23/2006
Last updated
05/08/2008
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