Provider Demographics
NPI:1477853299
Name:MOY, SHARLYNA (MPT,MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:SHARLYNA
Middle Name:
Last Name:MOY
Suffix:
Gender:F
Credentials:MPT,MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 SANGRE DE CRISTO RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4248
Mailing Address - Country:US
Mailing Address - Phone:720-231-2548
Mailing Address - Fax:
Practice Address - Street 1:8340 SANGRE DE CRISTO RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:720-231-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO958171100000X
CO7161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist