Individual
KATHIE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
6226 W SUNNYSIDE DR, GLENDALE, AZ 85304-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
978
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780678
—
AZ
Enumeration date
03/14/2007
Last updated
07/09/2007
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