Basic Information
| Provider Information | |||||||||
| NPI: | 1982834487 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEDFORD-HANCHETT | ||||||||
| FirstName: | SHELLEY | ||||||||
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| Credential: | PT, CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 303 S MILL ST | ||||||||
| Address2: | |||||||||
| City: | CLIO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484202307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106878700 | ||||||||
| FaxNumber: | 8106878724 | ||||||||
| Practice Location | |||||||||
| Address1: | 303 S MILL ST | ||||||||
| Address2: | |||||||||
| City: | CLIO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484202307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106878700 | ||||||||
| FaxNumber: | 8106878724 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2009 | ||||||||
| LastUpdateDate: | 07/17/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5501004038 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.