Individual
DR. KALA DANIELLE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
304 E JACKSON ST STE 2F, WILLARD, MO 65781-9333
(417) 221-4667
(417) 744-9674
Mailing address
PO BOX 257, WILLARD, MO 65781-0257
(417) 221-4667
(417) 744-9674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021031337
MO
Other
Enumeration date
09/02/2021
Last updated
02/21/2023
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