| Doctor Name: | KELLIE K SHEW/JEX |
| NPI Number: | 1912230277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 2324 |
| Business Practice Address: | 756 Hill Street Box 992 Meeker, CO - 81641 |
| Business Phone Number: | 9703141355 |
| Business Fax Number: | |
| Mailing Address: | Po Box 992, MEEKER |
| State: | CO |
| Postal Code: | 816410992 |
| Phone Number: | 9703141355 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2009 |
| NPI Last Update Date: | 11/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2324 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |