Individual
MRS. SHANNON BULLOCK MILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 635-6397
Mailing address
7506 WARRENTON HILL CT, LOUISVILLE, KY 40291-6716
(502) 262-5710
(502) 762-9250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004010
KY
Other
Enumeration date
11/03/2006
Last updated
01/13/2020
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