Individual
SHELLY ANN BUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1399 MORIAH LN, SOUTHSIDE, AL 35907-0750
(865) 368-0894
Mailing address
1399 MORIAH LN, SOUTHSIDE, AL 35907-0750
(865) 368-0894
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2060707
TX
225200000X
Physical Therapy Assistant
PTA1511
FL
225200000X
Physical Therapy Assistant
Primary
PTA2216
GA
225200000X
Physical Therapy Assistant
PTA3453
TN
225200000X
Physical Therapy Assistant
PTA555
WY
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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