Individual
KELLEY JAQUES-SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 528-6184
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 528-6184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1523
OK
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
1523
OK
Other
Enumeration date
06/10/2008
Last updated
12/30/2024
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