Individual
MRS. SHEILA KAY WHITAKER-KELLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17000 DALLAS PKWY, SUITE 104, DALLAS, TX 75248-1938
(214) 232-0197
Mailing address
5812 PRESTON FAIRWAYS DR, DALLAS, TX 75252-4957
(214) 232-0197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1029296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029296
TEXAS PHYSICAL THERAPY LICENSE NUMBER
TX
Enumeration date
05/05/2011
Last updated
05/05/2011
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