Doctor Name: | NATHAN PAUL SHEPARD |
NPI Number: | 1538349709 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.P.T., DSCPT |
License Number: | 10629 |
Business Practice Address: | 5955 Zeamer Ave Jber, AK - 995063702 |
Business Phone Number: | 9075801701 |
Business Fax Number: | |
Mailing Address: | 5955 Zeamer Ave, JBER |
State: | AK |
Postal Code: | 995063702 |
Phone Number: | 9075801701 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |