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Shelly Walt
NPI 1548600828 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4860 Manzana Dr
Apt. 210
Colorado Springs, CO 80911 - Phone
- (719) 459-9789
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-01
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