Provider Demographics
NPI:1962072900
Name:SHEPLEY, COLIN STEWART (DPT)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:STEWART
Last Name:SHEPLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 TURNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3423
Mailing Address - Country:US
Mailing Address - Phone:507-301-4737
Mailing Address - Fax:
Practice Address - Street 1:600 TURNBERRY CT
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-3423
Practice Address - Country:US
Practice Address - Phone:507-645-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist