Individual
JUSTIN RYAN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
201 OFFICE PARK DR STE 150, MOUNTAIN BRK, AL 35223-2400
(205) 278-2250
(205) 543-2034
Mailing address
800 CRESCENT CENTRE DR STE 600, FRANKLIN, TN 37067-7286
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT6646
TN
225100000X
Physical Therapist
Primary
PTH7280
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3658050
—
TN
01
—
4111092
BCBST
TN
05
—
5441656
—
TN
Enumeration date
06/02/2006
Last updated
02/09/2024
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