Individual provider · Type 1 NPI
Holly Renee Shoesmith, PTA
Specialist · Carlyle, IL
NPI number
1033533880
Active
Practice location
13829 Vincennes Dr
Carlyle, IL 62231-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 160.005504 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1033533880
Holly Renee Shoesmith, PTA's National Provider Identifier is 1033533880, issued on Feb 14, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Carlyle, IL. The record was last updated on Feb 14, 2014.