Head, Shelly
Head, Shelly is an sole proprietor health care provider with primary practice located at 3725 W 4100 S , West Valley City UT 84120-5530. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Head, Shelly can be contacted via phone (801) 679-0123.Contact Information
Primary practice address
3725 W 4100 S
West Valley City UT 84120-5530
Phone: (801) 679-0123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 6320111-4810 | Utah |
Profile Details
| NPI number | 1154797330 |
|---|---|
| LBN Legal business name | Head, Shelly |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2015 |
| Last updated | Aug 11th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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