Shelly Wade, PT

NPI #1104032291 in Kilgore, Texas

Provider Information

NPI Number
1104032291
Entity Type
Individual
Name
Shelly Wade, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
144 FM 1252 W
State
Texas
ZIP Code
75662-5093
Phone
(903) 984-5688

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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