Individual
SHELBY RAE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 ARROWROOT WAY, INDIANAPOLIS, IN 46239-7973
(765) 541-0097
Mailing address
3033 ARROWROOT WAY, INDIANAPOLIS, IN 46239-7973
(765) 541-0097
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
06/02/2020
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