Individual
SHELBY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8194
Mailing address
714 W GROVE ST, EL DORADO, AR 71730-4416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4507
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
AR
Enumeration date
02/04/2020
Last updated
02/04/2020
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