Individual
SHELLY KAY FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1076 WOLLENHAUPT DR, VANDALIA, OH 45377-3266
(937) 329-0873
Mailing address
1076 WOLLENHAUPT DR, VANDALIA, OH 45377-3266
(937) 329-0873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT269951
DRIVERS LICENSE
OH
Enumeration date
10/31/2022
Last updated
10/31/2022
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