Provider Demographics
NPI:1942908462
Name:MCGARVEY, SHELBY LEE ROSE (MS, ACSM-CEP)
Entity Type:Individual
Prefix:MISS
First Name:SHELBY LEE
Middle Name:ROSE
Last Name:MCGARVEY
Suffix:
Gender:F
Credentials:MS, ACSM-CEP
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:3177 OESCH LN
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-9420
Mailing Address - Country:US
Mailing Address - Phone:419-544-2537
Mailing Address - Fax:
Practice Address - Street 1:335 GLESSNER AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2269
Practice Address - Country:US
Practice Address - Phone:419-544-2537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
224Y00000X
OH1072605224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist