Organization
SHIFT PEDIATRIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SHIFFLETT DPT, PT (PHYSICAL THERAPIST)
(270) 991-0108
Entity
Organization
Contact information
Practice address
1302 BURL WOODS CT, BOWLING GREEN, KY 42103-1458
(270) 991-0108
Mailing address
1302 BURL WOODS CT, BOWLING GREEN, KY 42103-1458
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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