SHELLY J WAHLSTROM, CHT, PHD ROY, UT

Contact Information

SHELLY J WAHLSTROM, CHT, PHD

2827 W 4400 S
ROY, UT 84067-8951

Phone: 801-643-3211
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Religious Nonmedical Practitioner	374K00000X

Indicates primary specialty

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NPI Profile & details for SHELLY J WAHLSTROM · (Female)

NPI #	`1063303717`
Status	Active
Credentials	CHT, PHD
Entity	Individual
Enumeration date	07/11/2025
Last updated	07/11/2025 - About 11 months ago
Sole proprietor ¹	Yes
Identifiers	AZ License # 374K00000X
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SHELLY J WAHLSTROM, CHT, PHD – NPI #1063303717Religious Nonmedical Practitioner

Contact Information

Specialty

Religious Nonmedical Practitioner

NPI Profile & details for SHELLY J WAHLSTROM · (Female)

Reviews for SHELLY J WAHLSTROM

SHELLY J WAHLSTROM, CHT, PHD – NPI #1063303717
Religious Nonmedical Practitioner