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Individual

CYNTHIA R. SHEPHERD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
260 FORT SANDERS WEST BLVD, SUITE 110, KNOXVILLE, TN 37922-3355
(865) 558-4491
(865) 558-4493
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7047
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3645143
TN
01
4103368
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/10/2006
Last updated
07/08/2007
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