Individual
SHELBY BELLE BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 KIRKLAND LN, LIBERTY, MS 39645-6002
(769) 244-2908
Mailing address
3623 KIRKLAND LN, LIBERTY, MS 39645-6002
(769) 244-2908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6199
MS
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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