Provider Demographics
NPI:1750575809
Name:SCHELBACH, MONICA JEAN (PT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:JEAN
Last Name:SCHELBACH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 E JEWELL AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6907
Mailing Address - Country:US
Mailing Address - Phone:303-745-6717
Mailing Address - Fax:303-337-7944
Practice Address - Street 1:14100 E JEWELL AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6907
Practice Address - Country:US
Practice Address - Phone:303-745-6717
Practice Address - Fax:303-337-7944
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9682225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist