Individual
SHELLY DENISE BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 HUMMINGBIRD CIR, CAMDEN, TN 38320-1623
(731) 584-2700
Mailing address
235 PLEASANT HILL RD, SPRINGVILLE, TN 38256-6437
(731) 363-5752
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5419
TN
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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