Individual
SHELBY BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 VINEGAR BEND RD, FRUITDALE, AL 36539-5803
(251) 366-0125
Mailing address
4855 VINEGAR BEND RD, FRUITDALE, AL 36539-5803
(251) 366-0125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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