Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eddie Dupree Shepherd

Individual provider Physical Therapy Assistant · NPI 1336008226

Eddie Dupree Shepherd is a Physical Therapy Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

13611 Mountain West Ct SE
Albuquerque, NM 87123-2248
Phone: (505) 842-5151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1279 (NM)

Record details

NPI number1336008226
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 17, 2026
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026

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