| NPI | 1205244373 |
|---|---|
| Former Name | SHELBY VAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006815) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-02-08 |