Individual
SHELLY HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1705 E LAHARPE ST, KIRKSVILLE, MO 63501-3927
(660) 341-3565
Mailing address
1502 E SCOTT ST, KIRKSVILLE, MO 63501-3871
(660) 341-3565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2009018573
MO
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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