Provider Demographics
NPI:1568085025
Name:SHOBE, KARA (MM, MT-BC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SHOBE
Suffix:
Gender:F
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 CARMELA CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3027
Mailing Address - Country:US
Mailing Address - Phone:402-676-0043
Mailing Address - Fax:
Practice Address - Street 1:1514 CARMELA CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3027
Practice Address - Country:US
Practice Address - Phone:402-676-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist