Individual
MR. ROCKY LEE SHANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3800 ROGERS AVE, STE2, FORT SMITH, AR 72903-3046
(479) 783-0369
Mailing address
4801 UNION TOWN HWY, VAN BUREN, AR 72956
(479) 471-1582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3469
AR
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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