| NPI | 1063126209 |
|---|---|
| Doing Business As | SHELLEY PHYSICAL THERAPY & FITNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOEL CRUZ Member And Provider 208-680-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-02-06 |