Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY SMITH DICECCO, MSPT
ActiveSHELLEY SMITH DICECCO, MSPT is a Physical Therapy Assistant healthcare provider located in BROOKHAVEN, Georgia. NPI 1801834163 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BROOKHAVEN, GA
Registration Details
- NPI Number
- 1801834163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2006 (20.171578792093 yrs)
- Last Updated
- Apr 22, 2015
- License
-
PT006744 (GA)
Practice Information
- Address
-
2669 OSBORNE RD NEBROOKHAVEN, GA, 303198400Browse GA providers · Browse ZIP 30319
- Phone
- 4044777777
- Fax
- 4044777000
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BROOKHAVEN, GA
| Name | Credential | NPI |
|---|---|---|
| LAURA ROHNERT SIMMONS | P.T. | 1306904537 |
| DR. MARCUS JOHNSON HAYNES | — | 1295061703 |
| ALISON BROCK | PT | 1992198725 |
| KEYONDA MCQUEEN | PT, DPT | 1881071132 |
| HILLARY BOTTS SAULINO | PT, DPT | 1740737675 |
| JAMES CLARK CONNELLY | PT, DPT | 1902321763 |
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.