| NPI | 1801419544 |
|---|---|
| Former Name | SHELBY LYNN STOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6876) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: ID PT-6876) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-6876) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-06-13 |