Individual
SHELBY LEA HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 775-1444
Mailing address
17310 BROOK RIDGE DR, WAMEGO, KS 66547-7018
(785) 545-7055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03379
KS
225200000X
Physical Therapy Assistant
2018029310
MO
Other
Enumeration date
10/08/2018
Last updated
03/08/2024
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