| Organization Name: | SHANNON ZELENKA PHYSIOTHERAPY INC |
| NPI Number: | 1144414152 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON MARIE ZELENKA (PRESIDENT) |
| Mailing Address: | 1317 Grand Ave Suite 224b Glenwood Springs |
| State: | CO US |
| Postal Code: | 816013840 |
| Phone Number: | 9703094706 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2007 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 7593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |