SHELLY WAHLSTROM, CHT, PHD
Religious Nonmedical Practitioner
Active
Individual
NPI: 1063303717
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | Yes | 374K00000X (AZ) |
Frequently Asked Questions
NPI 1063303717 is the National Provider Identifier for SHELLY WAHLSTROM, CHT, PHD, a Religious Nonmedical Practitioner provider located in Roy, UT. This NPI was enumerated on July 11, 2025.
SHELLY WAHLSTROM, CHT, PHD practices at 2827 W 4400 S, Roy, UT 84067.
Quick Facts
- NPI
- 1063303717
- Type
- Individual
- Enumerated
- Jul 11, 2025
- Last Updated
- Jul 11, 2025
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