Individual
KERRY SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E 5TH NORTH ST STE D&E, SUMMERVILLE, SC 29483-0702
(843) 695-0326
(843) 695-0328
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/20/2023
Last updated
06/28/2024
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