Individual
SHEENA RAE LEE GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC.
Contact information
Practice address
5901 HIGHWAY 165 BYP, MONROE, LA 71202-7236
(318) 361-0467
Mailing address
203 ARAPAHO ST, MONROE, LA 71203-7373
(541) 777-0592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200173
LA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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