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NPI Code Detail

MEDICARE: TEMEKA NARIE SHUFORD PTA

MEDICARE: TEMEKA NARIE SHUFORD PTA
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
1225200000XPhysical Therapy AssistantA03238KY

General Provider Information

NPI Number : 1447961727
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEMEKA NARIE SHUFORD PTA
Provider Business Mailing Address
First Line : 104 LEE LN
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-2578
Country : US
Telephone Number : 859-421-2592
Fax Number :
Provider Business Practice Location Address
First Line : 213 WATER ST
Second Line :
City : DAWSON SPRINGS
State : KY
Zip : 42408-1727
Country : US
Telephone Number : 270-797-2025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/08/2022

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