Individual
JONATHAN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7521 CHARBRAY RD, FORT WORTH, TX 76131-5145
(817) 253-2115
Mailing address
7521 CHARBRAY RD, FORT WORTH, TX 76131-5145
(817) 253-2115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4470
TX
Other
Enumeration date
08/08/2016
Last updated
08/10/2016
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