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Individual
SHELBY PAIGE FARMER
Active
Individual
SHELBY PAIGE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1290621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290602
LICENSE
TX
05
—
378273201
—
TX
01
—
587820YKRY
PTAN
TX
01
—
9878518
CERTIFIED STRENGTH & CONDITIONING SPECIALIST
TX
Enumeration date
06/19/2017
Last updated
05/07/2018
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