Shane Carr, DPT

NPI 1124499280 · on the registry since 2015

Practice

Address: 559 Vincent St
Attn: 21 Mdos/Sgof - Fam Hlth
Peterson Afb, CO 80914
Phone: (719) 526-2273
Fax: (877) 813-1756
Organisation at this address: 21st Medical Group
21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 77

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado