Individual
HEATHER MATHESON SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
333 S ALLISON PKWY, STE 305, LAKEWOOD, CO 80226-3129
(303) 237-7715
(303) 237-1157
Mailing address
6979 S HOLLY CIR, STE 105, CENTENNIAL, CO 80112-1577
(303) 694-2295
(303) 694-1843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7520
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102255323
OWCP FACILITY ID
—
Enumeration date
09/13/2006
Last updated
03/04/2009
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