Organization
SHELTON MOVEMENT AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD TYLER SHELTON DPT (OWNER)
(336) 933-1544
Entity
Organization
Contact information
Practice address
163 STRATFORD CT STE 135, WINSTON SALEM, NC 27103-1830
(336) 933-1544
Mailing address
163 STRATFORD CT STE 135, WINSTON SALEM, NC 27103-1830
(336) 933-1544
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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