Individual
CONNIE RENEE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
1147 S 3RD ST, NILES, MI 49120-3472
(269) 684-9470
(269) 684-9477
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015742
MI
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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