Individual
HEATHER SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1094 MULBERRY ST, LOUDON, TN 37774-1364
(865) 458-8900
(865) 458-8626
Mailing address
1094 MULBERRY ST, LOUDON, TN 37774-1364
(865) 458-8900
(865) 458-8626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2666
TN
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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