Individual
TALIA MICHELLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
170 JOE KNOX AVE, MOORESVILLE, NC 28117-9169
(704) 360-2779
Mailing address
170 JOE KNOX AVE, MOORESVILLE, NC 28117-9169
(704) 360-2779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2997
NC
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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