Individual
KRISTEN SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
70 TIMBER CREEK DR STE 1, CORDOVA, TN 38018-4285
(901) 309-3077
(901) 309-3072
Mailing address
70 TIMBER CREEK DR STE 1, CORDOVA, TN 38018-4285
(901) 309-3077
(901) 309-3072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5476
TN
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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