NPI 1114459914
Kristen Shadle, OTRL
Practice location
- Address
- 70 Timber Creek Dr STE 1, Cordova, TN 38018-4285
- Phone
- (901) 309-3077
- Fax
- (901) 309-3072
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1114459914
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2017
- Record last updated
- 30 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.