Individual
TAI BAILEY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-6400
Mailing address
1435 MATTHEWS PL, MEDFORD, OR 97504-3699
(505) 379-8707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62135
OR
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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