| Doctor Name: | JUSTIN RYAN SHEPHERD |
| NPI Number: | 1679511927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT6646 |
| Business Practice Address: | 1831 28th Ave S Suite 155n Homewood, AL - 352092607 |
| Business Phone Number: | 2058761000 |
| Business Fax Number: | 2058761001 |
| Mailing Address: | 2001 Mallory Ln, Suite 201 FRANKLIN |
| State: | TN |
| Postal Code: | 370678233 |
| Phone Number: | 6153739461 |
| Fax Number: | 6152219054 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT6646 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| 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 |