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NPI Code Detail

MEDICARE: SHELBY TROTTER

MEDICARE:   SHELBY  TROTTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist203638AR

General Provider Information

NPI Number : 1396670121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY TROTTER
Provider Business Mailing Address
First Line : 1340 S WALDRON RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-2556
Country : US
Telephone Number : 479-755-6601
Fax Number : 479-755-6601
Provider Business Practice Location Address
First Line : 1340 S WALDRON RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-2556
Country : US
Telephone Number : 479-755-6601
Fax Number : 479-755-6601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SHELBY TROTTER ” Practice Location

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