Individual
JONIA CAROL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
408 W MILL ST, ELIZABETHTON, TN 37643-2026
(423) 213-7042
Mailing address
408 W MILL ST, ELIZABETHTON, TN 37643-2026
(423) 213-7042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
644
TN
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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