Individual
SHANNON E SMITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(800) 261-7193
(334) 255-7710
Mailing address
815 SIMMONS ST, ENTERPRISE, AL 36330-2818
(800) 261-7193
(334) 255-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0010988
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2009
Last updated
07/26/2024
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