Individual
SHIRLEY ANN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, ADC
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/07/2023
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