Individual
AMIE L SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-1564
Mailing address
5406 MERLE HAY RD, PO BOX 707, JOHNSTON, IA 50131-1209
(515) 727-1564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077636832
—
NE
Enumeration date
06/08/2007
Last updated
04/23/2013
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