TYSON LEE SHANHOLTZER

LAKEWOOD, CO
NPI1306629613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  CP049708T)
Enumeration Date2023-08-18
Last Update Date2025-10-20
Business Address
TYSON LEE SHANHOLTZER
3355 S WADSWORTH BLVD UNIT F107
LAKEWOOD, CO 80227-5123
Phone number: 360-845-1801
Mailing Address
TYSON LEE SHANHOLTZER
3355 S WADSWORTH BLVD UNIT F107
LAKEWOOD, CO 80227-5123
Phone number: 303-980-6762