SHELLY RUTLEDGE LAT ATC NPI 1821547530

NPI Information

NPI: 1821547530
Provider Name: SHELLY RUTLEDGE, LAT, ATC
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
4517 JESSUP GROVE RD
GREENSBORO, NC
ZIP 27410
Phone: (336) 664-1052
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Shelly Rutledge, LAT, ATC is a specialist technologist other in Greensboro, NC. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Shelly Rutledge, LAT, ATC NPI is 1821547530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4517 JESSUP GROVE RD
GREENSBORO, NC
ZIP 27410-407
Phone: (336) 664-1052

The enumeration date for this NPI number is 9/23/2016 and was last updated on 9/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		LAT-2953	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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