Provider Demographics
NPI:1598529018
Name:DURBIN, SHELBI (PT, DPT, CNPT)
Entity Type:Individual
Prefix:
First Name:SHELBI
Middle Name:
Last Name:DURBIN
Suffix:
Gender:F
Credentials:PT, DPT, CNPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1858 FOX HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7919
Mailing Address - Country:US
Mailing Address - Phone:919-609-5727
Mailing Address - Fax:
Practice Address - Street 1:10345 PARKGLENN WAY STE 220
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3869
Practice Address - Country:US
Practice Address - Phone:303-840-9202
Practice Address - Fax:303-840-8928
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist