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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHUNDREA NEELY, HAIR LOSS SPECIALIST

Active Sole Proprietor

SHUNDREA NEELY, HAIR LOSS SPECIALIST is a Physical Therapist Assistant healthcare provider located in FAIRVIEW HEIGHTS, Illinois. NPI 1114582368 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · FAIRVIEW HEIGHTS, IL

Registration Details

NPI Number
1114582368
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2019 (7.0950798886614 yrs)
Last Updated
May 3, 2019
Sole Proprietor
Yes

Practice Information

Address
10301 LINCOLN TRL
FAIRVIEW HEIGHTS, IL, 622081829
Browse IL providers · Browse ZIP 62208
Phone
6185603068
Primary Specialty
Physical Therapist Assistant
1744P3200X

Other Physical Therapist Assistant Providers in FAIRVIEW HEIGHTS, IL

Name Credential NPI
SAMANTHA CARTER 1427504109
JENA YOUNG 1366059008
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.