Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AUNDRAY TERALL SHACKELFORD, PROSTHETICSPECIALIST
Active Sole ProprietorMR. AUNDRAY TERALL SHACKELFORD, PROSTHETICSPECIALIST is a Physical Therapist Assistant healthcare provider located in TUPELO, Mississippi. NPI 1023653714 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · TUPELO, MS
Registration Details
- NPI Number
- 1023653714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2019 (6.714520861039 yrs)
- Last Updated
- Nov 17, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 RANKIN BLVD EXTTUPELO, MS, 388014611Browse MS providers · Browse ZIP 38801
- Phone
- 6622601239
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| CANDICE WILLIAMS | — | 1194383398 |
| LACRISTA MONTGOMERY | SPECIALUST | 1710505649 |
| SADARIAN RICHARDSON | — | 1811775380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.