Individual
TIMOTHY SHAWN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3029 WHITE HORSE RD, GREENVILLE, SC 29611-7701
(864) 269-6131
Mailing address
122 VALLEY FORGE DR, GREER, SC 29650-3565
(864) 364-3431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8595
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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