Individual
COURTNEY GAYLE SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
610 HWY 5 N, BENTON, AR 72019-8559
(501) 794-2269
Mailing address
2424 CEDAR RDG, BENTON, AR 72015-2614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3995
AR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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