Shirley Ann Willis, CTRS, ADC

NPI #1750996377 in Lexington, Kentucky

Provider Information

NPI Number: 1750996377
Entity Type: Individual
Name: Shirley Ann Willis, CTRS, ADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Credential: CTRS, ADC
Enumeration Date: Sep 10, 2020
Last Updated: Sep 7, 2023

Practice Location

Address: 2250 LEESTOWN RD
City: Lexington
State: Kentucky
ZIP Code: 40511-1052
Phone: (859) 233-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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