Individual
SHANNON KIMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3362 S APPLEGATE DR, NEW PALESTINE, IN 46163-8937
(317) 501-4059
Mailing address
3362 S APPLEGATE DR, NEW PALESTINE, IN 46163-8937
(317) 501-4059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004189A
IN
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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