Individual
MRS. SHELBY HEADLEY LUETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1311 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2454
(865) 588-5121
(865) 588-2126
Mailing address
1311 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2454
(865) 588-5121
(865) 588-2126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q080895
—
TN
Enumeration date
06/27/2022
Last updated
12/03/2025
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