SHELBY RAE JIMENEZ PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1720568611- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 3190 E MERIDIAN PARK LOOP STE 206A, WASILLA, AK, 996547422
- Phone
- (907) 373-9462
- Fax
- (907) 373-9463
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: AK #116806