Shirley Ann Willis, CTRS, ADC
Recreation Therapist in Lexington, KY. Individual provider (NPI-1).
NPI number1750996377
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1750996377
- Entity type
- Individual (NPI-1)
- Name
- Shirley Ann Willis
- Credential
- CTRS, ADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2020
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
Practice location
2250 Leestown RdLexington, KY 40511-1052
Phone 859-233-4511
Mailing address
2250 Leestown RdLexington, KY 40511-1052
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Other Recreation Therapist providers in Lexington, KY
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