Provider Demographics
NPI:1053692483
Name:SHULER, CHRISTINE RENE (MPT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RENE
Last Name:SHULER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27533 COUNTY ROAD 56
Mailing Address - Street 2:
Mailing Address - City:KERSEY
Mailing Address - State:CO
Mailing Address - Zip Code:80644-9613
Mailing Address - Country:US
Mailing Address - Phone:970-302-9974
Mailing Address - Fax:
Practice Address - Street 1:27533 COUNTY ROAD 56
Practice Address - Street 2:
Practice Address - City:KERSEY
Practice Address - State:CO
Practice Address - Zip Code:80644-9613
Practice Address - Country:US
Practice Address - Phone:970-302-9974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010013276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist