Individual
BRADFORD TYLER SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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
225100000X
Physical Therapist
Primary
P17396
NC
Other
Enumeration date
08/30/2017
Last updated
05/28/2019
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