Individual
KATIE NICOLE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
243 KATHERINE BLVD APT 5102, PALM HARBOR, FL 34684-3698
(865) 851-4043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32264
FL
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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