Individual
MISS ANNMARIE LENAE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3320 NE WILSHIRE DR, LEES SUMMIT, MO 64064-2077
(816) 607-5700
Mailing address
605 SE SUMPTER DR, LEES SUMMIT, MO 64063-1062
(816) 804-4511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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