Individual
SHAYLEE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LINDEN AVE, MONETT, MO 65708-2465
(417) 235-3951
Mailing address
1704 TEXAS AVE, JOPLIN, MO 64804-1265
(314) 239-5917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015025337
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015025337
OCCUPATIONAL THERAPIST STATE LICENSE
MO
01
—
B142303010
STATES DRIVER'S LICENSE
MO
Enumeration date
02/14/2019
Last updated
07/16/2024
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