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MR. AUNDRAY TERALL SHACKELFORD PROSTHETICSPECIALIST
NPI 1023653714
Specialist - Prosthetics Case Management in Tupelo, MS

Active since November 17, 2019
105 RANKIN BLVD EXT, TUPELO, MS 38801(662) 260-1239 Get Directions Write a Review

NPPES record last updated: November 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Aundray Terall Shackelford Prostheticspecialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. AUNDRAY TERALL SHACKELFORD PROSTHETICSPECIALIST (NPI 1023653714) is an individual prosthetics case management provider in Tupelo, Mississippi and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1023653714
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameMR. AUNDRAY TERALL SHACKELFORDCredential: PROSTHETICSPECIALIST
Location Address105 RANKIN BLVD EXTTupelo, MS 38801-4611
Mailing Address204 City Point RdTupelo, MS 38801-8637 · (662) 260-1239
Phone(662) 260-1239
Sole ProprietorYes
Enumeration DateNovember 17, 2019
✔ NPI 1023653714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
105 RANKIN BLVD EXT, Tupelo, MS 38801
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aundray Shackelford's NPI number?

The NPI number for Aundray Shackelford is 1023653714. It was assigned to this individual provider in the NPPES registry on November 17, 2019.

Where is Aundray Shackelford located?

Aundray Shackelford practices at 105 Rankin Blvd Ext, Tupelo, MS 38801. The listed phone number is (662) 260-1239.

What is Aundray Shackelford's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Aundray Shackelford was last updated on November 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.