| NPI | 1730808494 |
|---|---|
| Former Name | SHELBY L TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1367761) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1367761) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-02-09 |