Individual
RAYMOND SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1560 N MEADOWCREST BLVD, CRYSTAL RIVER, FL 34429-5757
(352) 228-4088
(352) 228-4006
Mailing address
1560 N MEADOWCREST BLVD, CRYSTAL RIVER, FL 34429-5757
(352) 228-4088
(352) 228-4006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19910
FL
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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