Individual
SHELBY MACKENZIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1739 ELM CT STE 205206, JEFFERSON CITY, MO 65101-4303
(573) 681-0447
Mailing address
1301 W WORLEY ST, COLUMBIA, MO 65203-2043
(918) 850-4443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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