Individual
TYLER SHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 LINNEY LN # A, SHELBY, NC 28152-6411
(980) 339-0927
Mailing address
905 LINNEY LN, SHELBY, NC 28152-6411
(980) 339-0927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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