Individual
SHELBY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1600 WASHINGTON AVE, CONWAY, AR 72032-4115
(859) 992-5239
Mailing address
272 VISALIA RD, ALEXANDRIA, KY 41001-7877
(859) 992-5239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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