Individual
MS. AUTUMN NICOLE ANESHANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3838 50TH ST, LUBBOCK, TX 79413-3808
(806) 792-5522
(806) 785-7582
Mailing address
3732 S LOUISVILLE AVE, TULSA, OK 74135-2244
(580) 302-0571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1225532
TX
225100000X
Physical Therapist
4099
OK
Other
Enumeration date
08/01/2008
Last updated
06/11/2018
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