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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN B BOHNSACK SHEPARD, P.T.

Active Sole Proprietor

Physical Therapy Assistant · RIDGELAND, MS

Registration Details

NPI Number
1679854483
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2011 (14.631689543158 yrs)
Last Updated
Sep 7, 2011
License
PT4490 (MS)
Sole Proprietor
Yes

Practice Information

Address
711 AVIGNON DR
RIDGELAND, MS, 391575120
Browse MS providers · Browse ZIP 39157
Phone
6016056777
Fax
6016071415
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RIDGELAND, MS

Name Credential NPI
MS. SYLVIA MCCANDLESS P.T. 1790747038
MR. CLARENCE DWAYNE SINGLETARY RPT 1285680009
JANYCE BALL PT 1669489308
TODD MICHAEL SMITH RPT 1851407670
GREGORY H TRUSSELL P.T. 1508967928
AUTUMN LEIGH STEGALL P.T. 1689775090
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.