Individual
ANDREW KYLE SHRUM
Active
Individual
ANDREW KYLE SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008972
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008972
STATE
KY
Enumeration date
11/02/2023
Last updated
11/02/2023
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