Shelly Jo Wahlstrom, CHT, PHD

NPI #1063303717 in Roy, Utah

Provider Information

NPI Number: 1063303717
Entity Type: Individual
Name: Shelly Jo Wahlstrom, CHT, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Religious Nonmedical Practitioner
Credential: CHT, PHD
Enumeration Date: Jul 11, 2025
Last Updated: Jul 11, 2025

Practice Location

Address: 2827 W 4400 S
City: Roy
State: Utah
ZIP Code: 84067-8951
Phone: (801) 643-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Religious Nonmedical Practitioner	374K00000X	Primary

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