Tidd, Shelley Etke
Tidd, Shelley Etke is an individual health care provider with primary practice located at 2065 Hillsdale Cir , Boulder CO 80305-5617. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Tidd, Shelley Etke can be contacted via phone (303) 543-9232.Contact Information
Primary practice address
2065 Hillsdale Cir
Boulder CO 80305-5617
Phone: (303) 543-9232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 1007123 | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1007123 |
Profile Details
| NPI number | 1326274317 |
|---|---|
| LBN Legal business name | Tidd, Shelley Etke |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Sep 18th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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