Individual provider · Type 1 NPI

Nicole Sheppard

Rehabilitation Practitioner · Grand Rapids, MI

NPI number 1104248897 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Call (616) 940-0040 Map

Mailing address

3201 Burton St SE
Grand Rapids, MI 49546-4301

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104248897

Nicole Sheppard's National Provider Identifier is 1104248897, issued on Jan 14, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 14, 2014.