NPI 1720832785 · live from the CMS NPI Registry
Shelby Maria Coad
Developmental Therapist in West Memphis, AR. National Provider Identifier 1720832785, active.
NPI record
| NPI | 1720832785 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Developmental Therapist 222Q00000X |
| Practice location | 1600 Avondale Cir, West Memphis, AR 72301 |
| Practice phone | 901-489-4994 |
| Enumerated | April 16, 2024 |
| Last updated | April 29, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist primary | 222Q00000X | 4392888 (AR) |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | 4392888 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.