Individual
HUNTER SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
619 FAYETTEVILLE RD, VAN BUREN, AR 72956-3418
(479) 474-0041
(479) 474-0099
Mailing address
201 N 56TH ST, FORT SMITH, AR 72903-1405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4157
AR
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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