Provider Demographics
NPI:1124680855
Name:SHELTON, LAUREN HUBBARD (PT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HUBBARD
Last Name:SHELTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7279 DOME ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-7908
Mailing Address - Country:US
Mailing Address - Phone:919-452-5987
Mailing Address - Fax:
Practice Address - Street 1:7279 DOME ROCK RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-7908
Practice Address - Country:US
Practice Address - Phone:919-452-5987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT35634225100000X
NCP18837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist