Organization
SUCCESSFUL CHILD THERAPY LLC
Active
Other names
Melinda Beth Shellenberger
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BETH SHELLENBERGER OTR LICENSED (OWNER)
(316) 260-2251
Entity
Organization
Contact information
Practice address
1811 E BEAUMONT ST, PARK CITY, KS 67219-2420
(316) 260-2251
(316) 744-3152
Mailing address
1811 E BEAUMONT ST, PARK CITY, KS 67219-2420
(316) 260-2251
(316) 744-3152
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1701909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115686
BCBS GROUP
KS
01
—
PHS
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
12/05/2006
Last updated
05/28/2008
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