Individual
MISS SHELBY LYNN JESTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
176 W UNIVERSITY PKWY STE E, JACKSON, TN 38305-1618
(731) 300-4950
Mailing address
5760 HIGHWAY 179, WHITEVILLE, TN 38075-5316
(731) 609-0965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6894
TN
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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