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

Individual provider Physical Therapy Assistant · NPI 1740057900

Shelby Noelle Bodine is a Physical Therapy Assistant in Shawnee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023
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Practice location Address checks out

412 N Broadway Ave
Shawnee, OK 74801-6922
Phone: (405) 273-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3513 (OK)

Record details

NPI number1740057900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 6, 2023

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