IndividualActive
Shelley Frederick
NPI 1558072165 · Art Therapist · El Paso, TX
Provider details
- NPI number
- 1558072165
- Entity type
- Individual
- Primary specialty
- Art TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17-043 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2496 Ricker Road
El Paso, TX 79916
Phone: (915) 742-9558
Fax: (915) 742-2363
Approximate (ZIP-level) locationGet directions
Mailing address
2496 Ricker Road
El Paso, TX 79916
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.