Individual
MELISSA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8222
(314) 251-6571
Mailing address
607 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8222
(314) 251-6571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01051
MO
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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