Provider Demographics
NPI:1265639157
Name:ARNOLD, SHELIA LYNN (PTA)
Entity Type:Individual
Prefix:MS
First Name:SHELIA
Middle Name:LYNN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 REBECCA ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-8027
Mailing Address - Country:US
Mailing Address - Phone:901-744-1207
Mailing Address - Fax:
Practice Address - Street 1:6733 QUINCE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8602
Practice Address - Country:US
Practice Address - Phone:901-755-3860
Practice Address - Fax:901-755-6804
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant