Shelby Lynn Reagle, PTA

NPI #1124574934 in Jamestown, New York

Provider Information

NPI Number: 1124574934
Entity Type: Individual
Name: Shelby Lynn Reagle, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 31, 2016
Last Updated: Aug 31, 2016

Practice Location

Address: 774 FAIRMOUNT AVE
City: Jamestown
State: New York
ZIP Code: 14701-2609
Phone: (716) 665-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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