Individual
SHARONICA SHANTA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
177 N HIGHLAND ST, MEMPHIS, TN 38111-4747
(901) 325-9248
Mailing address
177 N HIGHLAND ST, MEMPHIS, TN 38111-4747
(901) 325-4003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000006743
—
TN
Enumeration date
06/16/2022
Last updated
06/16/2022
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