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Contact Information

SHIRLEY A WILLIS, CTRS, ADC
2250 LEESTOWN RD
LEXINGTON, KY40511-1052
 Phone: 859-233-4511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for SHIRLEY A WILLIS · (Female)

NPI # 1750996377
Status Active
Credentials CTRS, ADC
Entity Individual
Enumeration date 09/10/2020
Last updated 09/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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