Provider Demographics
NPI:1841527827
Name:CELESTE, SHELLEY (DPT)
Entity type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:
Last Name:CELESTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 W RENO AVE STE F
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1609
Mailing Address - Country:US
Mailing Address - Phone:702-262-0037
Mailing Address - Fax:702-262-0252
Practice Address - Street 1:3555 W RENO AVE STE F
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1609
Practice Address - Country:US
Practice Address - Phone:702-262-0037
Practice Address - Fax:702-262-0252
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV23632251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics