Individual
TYLER SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
313 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 746-3704
(304) 744-5891
Mailing address
133 ROSEMAR RD STE 1, PARKERSBURG, WV 26104-7609
(304) 693-2781
(304) 693-2171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003877
WV
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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