TYLER SHADE

SHELBY, NC
NPI1174117212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
TYLER SHADE
905 LINNEY LN # A
SHELBY, NC 28152-6411
Phone number: 980-339-0927
Mailing Address
TYLER SHADE
905 LINNEY LN
SHELBY, NC 28152-6411
Phone number: 980-339-0927