Dana Rene' Shelley, RPT

Individual provider Active NPI Physical Therapist · Van Alstyne, TX

NPI 1679711709 · NPPES record last updated Jan 27, 2009

Key facts

NPI
1679711709
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1110302 (TX)
Practice address
68 Galvan LN
Van Alstyne, TX 75495-4315
Phone
(903) 482-5889
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1110302 TX Yes

Addresses

Primary practice location

68 Galvan LN
Van Alstyne, TX 75495-4315

Mailing address

68 Galvan LN
Van Alstyne, TX 75495-4315
Phone (903) 482-5889

Other providers in Van Alstyne, TX

All providers in Van Alstyne, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.