Individual
TERESA MAE SHIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1900 S LACHANCE RD, LAKE CITY, MI 49651-8022
(231) 775-3081
Mailing address
1900 S LACHANCE RD, LAKE CITY, MI 49651-8022
(231) 775-3081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000921
MI
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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