Individual
TAYLOR M SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 W FRONT ST STE 102, NOME, AK 99762-9800
(907) 443-7477
Mailing address
1150 S COLONY WAY STE 3, PALMER, AK 99645-6972
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11240850-4701
UT
Other
Enumeration date
11/16/2019
Last updated
02/03/2021
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