Individual
SHERI R WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
Mailing address
504 GRASMERE DR, CLARKSVILLE, IN 47129-1922
(502) 974-0541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04762
KY
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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