| Kevin Wayne Shelton, LMT | |
|
4073 N Fruit Ave Apt 117, Fresno, CA 93705-2136 | |
| (559) 720-9493 | |
| Not Available |
| Full Name | Kevin Wayne Shelton |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 4073 N Fruit Ave Apt 117, Fresno, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922601392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 78975 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Wayne Shelton, LMT 4073 N Fruit Ave Apt 117, Fresno, CA 93705-2136 Ph: (559) 720-9493 | Kevin Wayne Shelton, LMT 4073 N Fruit Ave Apt 117, Fresno, CA 93705-2136 Ph: (559) 720-9493 |
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