Individual
SHELBY JANAE ROITHMAYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1 MERCADO ST STE 205, DURANGO, CO 81301-7310
(970) 739-5773
Mailing address
1 MERCADO ST STE 205, DURANGO, CO 81301-7310
(970) 385-7272
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
15522
NC
231H00000X
Audiologist
557
CO
231H00000X
Audiologist
AU2227
CA
235Z00000X
Speech-Language Pathologist
SLP12846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43858864
—
CO
01
—
COA103191
MEDICARE PTAN
CO
Enumeration date
01/17/2007
Last updated
01/14/2025
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