Individual
JADE LEANDRIA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
574 E MAIN ST, INDEPENDENCE, VA 24348-3879
(276) 773-8118
Mailing address
753 JEFFERSON HWY, MOUTH OF WILSON, VA 24363-3818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214859
VA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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