Individual
STORMY SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Mailing address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4552
AR
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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