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Individual

THERESA SHOEMAKER

Active
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Individual

THERESA SHOEMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12903
CO
225100000X
Physical Therapist
Primary
PT-1724
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12903
MEDICARE
CO
05
154606600
WY
Enumeration date
08/22/2014
Last updated
08/06/2024
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