Provider Demographics
NPI:1639326291
Name:ACOCELLO, SHELLIE (ATC)
Entity Type:Individual
Prefix:
First Name:SHELLIE
Middle Name:
Last Name:ACOCELLO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 TURTLE CREEK RD
Mailing Address - Street 2:APT 6
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-6715
Mailing Address - Country:US
Mailing Address - Phone:318-455-4637
Mailing Address - Fax:
Practice Address - Street 1:130 TURTLE CREEK RD
Practice Address - Street 2:APT 6
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-6715
Practice Address - Country:US
Practice Address - Phone:318-455-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer