Individual
KELLY MOORE SCHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1501 SE WALTON BLVD, SUITE 1009, BENTONVILLE, AR 72712-3734
(479) 464-9672
(497) 464-9675
Mailing address
1308 HUNTER RDG, SILOAM SPRINGS, AR 72761-2201
(479) 220-9963
(479) 464-9675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2948
AR PHYSICAL THERAPY LICEN
AR
Enumeration date
05/23/2005
Last updated
07/08/2007
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