Individual
SAMUEL JOSEPH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2 E GREGORY BLVD STE 200, KANSAS CITY, MO 64114-1118
(816) 926-0222
(816) 926-0277
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06564
KS
225100000X
Physical Therapist
Primary
2020034759
MO
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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