Doctor Name: | TRENTON B SHEPHERD |
NPI Number: | 1093043622 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 04785 |
Business Practice Address: | 101 Isadore St Natchitoches, LA - 714575747 |
Business Phone Number: | 3182382810 |
Business Fax Number: | 3182382811 |
Mailing Address: | 101 Isadore St, NATCHITOCHES |
State: | LA |
Postal Code: | 714575747 |
Phone Number: | 3182382810 |
Fax Number: | 3182382811 |
NPI Enumeration Date: | 11/19/2009 |
NPI Last Update Date: | 11/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 04785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |