| NPI | 1558733691 |
|---|---|
| Former Name | SHELLY HAMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10048) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2026-04-02 |