IndividualActive
Kelley Jaques-Shepherd, PT
NPI 1508026931 · Orthopedic Physical Therapist · Tinker Afb, OK
Provider details
- NPI number
- 1508026931
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 1523 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Phone: (405) 528-6184
Approximate (ZIP-level) locationGet directions
Mailing address
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.