Organization
SUCCESSFUL CHILD THERAPY LLC
Active
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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