Provider Demographics
NPI:1841837671
Name:FELTROP, SHELBY TERESA (ATS)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:TERESA
Last Name:FELTROP
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9624 STONEY GAP RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-9546
Mailing Address - Country:US
Mailing Address - Phone:573-680-0549
Mailing Address - Fax:
Practice Address - Street 1:WILLIAM WOODS UNIVERSITY
Practice Address - Street 2:1 UNIVERSITY AVE
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-6525
Practice Address - Country:US
Practice Address - Phone:573-680-0549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer