Individual
SHANNON WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 N CENTER ST STE 105, FAYETTEVILLE, AR 72701-8210
(870) 916-5455
(870) 277-0896
Mailing address
2355 N CENTER ST STE 105, FAYETTEVILLE, AR 72701-8210
(870) 916-5455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2674
AR
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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