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Contact Information

SHAUNDA TISDALE
3501 S SONCY RD STE 137
AMARILLO, TX79119
 Phone: 806-331-6084
 Fax: 806-331-6085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHAUNDA TISDALE · (Female)

NPI # 1124564794
Status Active
Credentials
Entity Individual
Enumeration date 01/06/2017
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1147430
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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