Willis, Shanetta
Willis, Shanetta is an individual health care provider with primary practice located at 116 Wildwood Cir , El Dorado AR 71730-2424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Willis, Shanetta can be contacted via phone (870) 310-7226.Contact Information
Primary practice address
116 Wildwood Cir
El Dorado AR 71730-2424
Phone: (870) 310-7226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA 2374 | Arkansas |
Profile Details
| NPI number | 1497033385 |
|---|---|
| LBN Legal business name | Willis, Shanetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Jul 27th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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