Individual
MRS. ELAINE SHELBY SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11940 W 119TH ST, OVERLAND PARK, KS 66213-2216
(913) 563-5500
Mailing address
20317 183RD ST, TONGANOXIE, KS 66086-5359
(913) 901-7867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06827
KS
Other
Enumeration date
06/23/2021
Last updated
06/24/2021
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