Ms. Kathy Shannon Shepard
Occupational Therapist - Gerontology
1890 Cowden Ave
Memphis
, Tennessee 38104-5209
Ms. Kathy Shannon Shepard
Occupational Therapist - Gerontology
1890 Cowden Ave
Memphis
, Tennessee 38104-5209
(901) 647-4005
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Kathy Shannon Shepard
- 1890 Cowden Ave
- Memphis, TN
- Zip : 38104-5209
- Phone : (901) 647-4005
Second Address
- Ms. Kathy Shannon Shepard
- 1890 Cowden Ave
- Memphis, TN
- Zip : 38104-5209
- Phone : (901) 647-4005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 3115 | TN |
National Provider Identifier
| NPI | 1639462336 |
|---|---|
| Provider Name | Ms. Kathy Shannon Shepard |
| First Address | Memphis, TN 38104-5209 |
| Second Address | Memphis, TN 38104-5209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2011 |
| Last Update Date | 27/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.