IndividualActive
Shelly Rutledge, LAT, ATC
NPI 1821547530 · Other Specialist/Technologist · Greensboro, NC
Provider details
- NPI number
- 1821547530
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- LAT-2953 (NC)
Practice location
4517 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone: (336) 664-1052
Mailing address
4517 Jessup Grove Rd
Greensboro, NC 27410-9407
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2016-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.