Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY JO WAHLSTROM, CHT, PHD
Active Sole ProprietorSHELLY JO WAHLSTROM, CHT, PHD is a 374K00000X healthcare provider located in ROY, Utah. NPI 1063303717 is currently active in the NPPES registry. Verify at CMS.
374K00000X · ROY, UT
Registration Details
- NPI Number
- 1063303717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2025 (1.1035647370095 yrs)
- Last Updated
- Jul 11, 2025
- License
-
374K00000X (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2827 W 4400 SROY, UT, 840678951Browse UT providers · Browse ZIP 84067
- Phone
- 8016433211
- Primary Specialty
-
374K00000X
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.