Individual
SHELBE DALE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 TOWN SQUARE ST., SUITE 2, GREENWOOD, AR 72936-7293
(918) 330-6915
Mailing address
1300 12TH TER, BARLING, AR 72923-1813
(918) 330-6915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9069
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9069
MASSAGE THERAPY LICENSE
AR
Enumeration date
08/03/2022
Last updated
08/03/2022
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