Jimenez, Shelby Rae
Jimenez, Shelby Rae is an sole proprietor health care provider with primary practice located at 3190 E Meridian Park Loop Ste 206A , Wasilla AK 99654-7422. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jimenez, Shelby Rae can be contacted via phone (907) 373-9462.Contact Information
Primary practice address
3190 E Meridian Park Loop Ste 206A
Wasilla AK 99654-7422
Phone: (907) 373-9462
Fax: (907) 373-9463
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 116806 | Alaska |
Profile Details
NPI number | 1720568611 |
---|---|
LBN Legal business name | Jimenez, Shelby Rae |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2018 |
Last updated | Aug 20th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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