Individual
MRS. SHELLEY DAWN HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1480 W 8TH ST, WEST PLAINS, MO 65775-2010
(417) 256-5669
(417) 256-5699
Mailing address
936 WALNUT ST, THAYER, MO 65791-1251
(417) 264-2286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102032
MO
Other
Enumeration date
06/27/2006
Last updated
07/09/2007
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