Doctor Name: | JOHN D SHEPPARD |
NPI Number: | 1952659526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 013761 |
Business Practice Address: | 805 Patriot Dr Suite H Wellington, OH - 440908950 |
Business Phone Number: | 4406470107 |
Business Fax Number: | 4406471030 |
Mailing Address: | 4808 Avenue A, HURON |
State: | OH |
Postal Code: | 448399708 |
Phone Number: | 4194477203 |
Fax Number: | 4194475577 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 013761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |