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Shantale Etheridge

NPI 1801338538 · on the registry since 2016 · sole proprietor

Practice

Address
6000 Brushy Creek Dr
Killeen, TX 76549
Phone
(254) 519-8803
Fax
(254) 519-8805

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas