Individual
MRS. TIFFINY SHELLESE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C., P.T.A.
Contact information
Practice address
107 LUCIA LN, SCOTTS VALLEY, CA 95066-4557
(831) 440-9048
Mailing address
107 LUCIA LN, SCOTTS VALLEY, CA 95066-4557
(831) 440-9048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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