Individual
KELLIE K SHEW/JEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
756 HILL STREET, BOX 992, MEEKER, CO 81641
(970) 314-1355
Mailing address
PO BOX 992, MEEKER, CO 81641-0992
(970) 314-1355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2324
NM
225100000X
Physical Therapist
Primary
5599
CO
Other
Enumeration date
09/17/2009
Last updated
11/16/2012
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