Individual
SHELLY LEE DOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7321
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT7321
PT LICENSE NUMBER
MS
Enumeration date
08/10/2022
Last updated
08/10/2022
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