Individual
MRS. SHAWNA GAYE COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LET
Contact information
Practice address
300 W PINE ST STE 2, CHILLICOTHE, IL 61523-1849
(309) 657-7753
Mailing address
816 W BEECH ST, CHILLICOTHE, IL 61523-1717
(309) 657-7753
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
227000314
IL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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