Provider Demographics
NPI:1720229644
Name:CEALLAIGH, SHANNON BRIGITTE (PT)
Entity type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:BRIGITTE
Last Name:CEALLAIGH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:SHANNON
Other - Middle Name:MARIE
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8899 E PRENTICE AVE APT 10301
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3357
Mailing Address - Country:US
Mailing Address - Phone:970-309-4706
Mailing Address - Fax:
Practice Address - Street 1:8899 E PRENTICE AVE APT 10301
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3357
Practice Address - Country:US
Practice Address - Phone:970-309-4706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000075932251X0800X
CO75932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic