Individual
DR. MATTHEW JOSEPH SHELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17534 OLD JEFFERSON HWY, SUITE C2, PRAIRIEVILLE, LA 70769-3978
(985) 400-1633
Mailing address
17534 OLD JEFFERSON HWY, SUITE C2, PRAIRIEVILLE, LA 70769-3978
(985) 400-1633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1497
LA
Other
Enumeration date
12/02/2008
Last updated
03/03/2015
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