Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelly Jo Wahlstrom, CHT, PHD

Individual provider Religious Nonmedical Practitioner · NPI 1063303717

Shelly Jo Wahlstrom, CHT, PHD is a Religious Nonmedical Practitioner in Roy, Utah. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
What do these letters mean?
CHT — Certified Hand Therapist
An occupational or physical therapist with advanced certification in hand and upper-limb rehabilitation.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2827 W 4400 S
Roy, UT 84067-8951
Phone: (801) 643-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X · Licence 374K00000X (AZ)

Record details

NPI number1063303717
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHT , PHD
Sole proprietorYes
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025