SHELBY RAE JIMENEZ

WASILLA, AK
NPI1720568611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AK  116806)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
SHELBY RAE JIMENEZ PTA
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654-7422
Phone number: 907-373-9462
Mailing Address
SHELBY RAE JIMENEZ PTA
4130 N PRESTON AVE
WASILLA, AK 99654-1352
Phone number: 907-414-4392