Provider Demographics
NPI:1861795627
Name:MCELYA, SHARON DARLENE (CMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DARLENE
Last Name:MCELYA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 STONYBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7011
Mailing Address - Country:US
Mailing Address - Phone:720-587-9335
Mailing Address - Fax:
Practice Address - Street 1:8330 STONYBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-7011
Practice Address - Country:US
Practice Address - Phone:720-587-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1807225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist