NPI 1003452095

Shay N Farris, PTA

Practitioner Physical Medicine & Rehabilitation Physician Olney, IL

Practice location

Address: 800 E Locust St, Olney, IL 62450-2553
Phone: (618) 395-6031

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 160.004069 (IL)

Other Physical Medicine & Rehabilitation providers in Illinois →

Registry record

NPI: 1003452095
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.