Individual
MRS. SHANNA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
550 US HIGHWAY 62 W, PRINCETON, KY 42445-2435
(270) 365-0300
Mailing address
550 US HIGHWAY 62 W, PRINCETON, KY 42445-2435
(270) 365-0300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-014046
IL
225100000X
Physical Therapist
Primary
PT-004614
KY
Other
Enumeration date
06/21/2005
Last updated
12/24/2019
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