Shine Therapy, LLC

Organization Active NPI Speech-Language Pathologist · Calhan, CO

NPI 1710505201 · NPPES record last updated Jul 10, 2020

Key facts

NPI
1710505201
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
SHINE THERAPY, LLC
Practice address
25065 Sanborn Rd
Calhan, CO 80808-8510
Phone
(308) 390-2594
NPI assigned
Jul 10, 2020
Organization subpart
No

Authorized official

Name
Susan Adams
Title
Owner
Phone
(308) 390-2594

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

25065 Sanborn Rd
Calhan, CO 80808-8510

Mailing address

25065 Sanborn Rd
Calhan, CO 80808-8510
Phone (308) 390-2594

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address shinetherapyllc@microsoft.com Health Information Exchange (HIE)
Direct Messaging Address shinetherapyllc@microsoft.com Health Information Exchange (HIE)

Other providers in Calhan, CO

All providers in Calhan, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.