Individual
SHAVON A CONERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
950 E COUNTY LINE RD STE D, RIDGELAND, MS 39157-1928
(601) 899-0002
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 656-0379
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4722
MS
225100000X
Physical Therapist
PTH5127
AL
Other
Enumeration date
09/08/2007
Last updated
09/15/2022
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