Individual
KACIE ANN SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT CPHT
Contact information
Practice address
432 LAUREL AVE, COOKEVILLE, TN 38501-2363
(931) 545-7249
Mailing address
432 LAUREL AVE, COOKEVILLE, TN 38501-2363
(931) 545-7249
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
G7A4C3S9
TN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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