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

MS. KRISTEN BROOKE SHORES, MS,CCC-SLP

Active Sole Proprietor

MS. KRISTEN BROOKE SHORES, MS,CCC-SLP is a Skilled Nursing Facility healthcare provider located in SPARTA, Tennessee. NPI 1942460241 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · SPARTA, TN

Registration Details

NPI Number
1942460241
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2008 (18.152345064482 yrs)
Last Updated
Jun 11, 2008
License
SP 0000003641 (TN)
Sole Proprietor
Yes

Practice Information

Address
34 GRACEY ST
SPARTA, TN, 385832046
Browse TN providers · Browse ZIP 38583
Phone
9318362211
Fax
9318362230
Primary Specialty
Skilled Nursing Facility
314000000X
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.