Individual
BRADY SHOLLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 US HIGHWAY 68 E, BENTON, KY 42025-7568
(870) 215-1947
Mailing address
4624 JERI CV, JONESBORO, AR 72404-8190
(870) 215-1947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5004
AR
Other
Enumeration date
11/11/2021
Last updated
03/15/2022
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