Individual
ALLISON SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2036 US HIGHWAY 45 BYP S, TRENTON, TN 38382-2941
(731) 855-4500
Mailing address
2036 US HIGHWAY 45 BYP S, TRENTON, TN 38382-2941
(731) 855-4500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4066
TN
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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