Individual
MRS. SHELLEY DAWN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 N PARKWAY, SUITE 4, JACKSON, TN 38305-2735
(731) 668-1372
(731) 664-9919
Mailing address
97 THORNFIELD DR, BELLS, TN 38006-5128
(731) 660-2171
(731) 660-2171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4019
TN
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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