Individual
MS. KATHY SHANNON SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 COWDEN AVE, MEMPHIS, TN 38104-5209
(901) 647-4005
Mailing address
1890 COWDEN AVE, MEMPHIS, TN 38104-5209
(901) 647-4005
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
3115
TN
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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