Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANETTA WILLIS
ActiveSHANETTA WILLIS is a Occupational Therapist healthcare provider located in EL DORADO, Arkansas. NPI 1497033385 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · EL DORADO, AR
Registration Details
- NPI Number
- 1497033385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2011 (15.003982557982 yrs)
- Last Updated
- Jul 27, 2011
- License
-
PTA 2374 (AR)
Practice Information
- Address
-
116 WILDWOOD CIREL DORADO, AR, 717302424Browse AR providers · Browse ZIP 71730
- Phone
- 8703107226
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in EL DORADO, AR
| Name | Credential | NPI |
|---|---|---|
| MS. ALICIA MARIE BAILEY | PTA | 1669612529 |
| MEREDITH ELLERBE | PTA | 1952608259 |
| KERRI ARNOLD RIDINGER | PTA | 1306117072 |
| MR. ERIC LAMORRIS JERMANY | PTA | 1659633378 |
| KRISTEN W. LATINO | PTA | 1891039780 |
| MS. DANA MARIE BIBBY | PTA | 1891129169 |
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.