Individual
HEATHER ANNE SHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2712
Mailing address
333 CATTLEMAN TRL, LAWRENCE, KS 66049-2119
(785) 843-1834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02703
KS
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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