Individual
CHANDRA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
21395 JOHN MILLESS DR, SUITE 600, ROGERS, MN 55374-4402
(763) 428-2589
Mailing address
21395 JOHN MILLESS DR, SUITE 600, ROGERS, MN 55374-4402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8362
MN
2255A2300X
Athletic Trainer
1821
MN
Other
Enumeration date
05/30/2006
Last updated
03/21/2013
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