Individual
MISS SHANDA KRISTEN LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1225 CRESCENT DR, ANDREWS, TX 79714-3829
(432) 661-2592
Mailing address
1225 CRESCENT DR, ANDREWS, TX 79714-3829
(432) 661-2592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0606
NM
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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