Provider Demographics
NPI:1932423654
Name:OGLETREE, SHELLLIE L
Entity type:Individual
Prefix:MISS
First Name:SHELLLIE
Middle Name:L
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 OAKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554
Mailing Address - Country:US
Mailing Address - Phone:717-285-0001
Mailing Address - Fax:717-285-0021
Practice Address - Street 1:113 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1867
Practice Address - Country:US
Practice Address - Phone:717-285-0001
Practice Address - Fax:717-285-0021
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist