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NPI Code Detail

MEDICARE: SHELBIE E ALEXANDER PTA, BHA, LNHA

MEDICARE: SHELBIE E ALEXANDER PTA, BHA, LNHA
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 Assistant

General Provider Information

NPI Number : 1962087833
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBIE E ALEXANDER PTA, BHA, LNHA
Provider Business Mailing Address
First Line : 2601 FAIR ST
Second Line :
City : CHILLICOTHEE
State : MO
Zip : 64601-3525
Country : US
Telephone Number : 660-646-1230
Fax Number :
Provider Business Practice Location Address
First Line : 2601 FAIR ST
Second Line :
City : CHILLICOTHEE
State : MO
Zip : 64601-3525
Country : US
Telephone Number : 660-646-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 03/12/2021

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