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

Shelly Wade, PT

Individual provider Physical Therapist · NPI 1104032291

Shelly Wade, PT is a Physical Therapist in Kilgore, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

144 Fm 1252 W
Kilgore, TX 75662-5093
Phone: (903) 984-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1041820 (TX)

Record details

NPI number1104032291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address8925 Fm 49, Big Sandy, TX 75755-6628

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