Shameika Renee Waller, PTA
Physical Therapy Assistant in Owensboro, KY. Individual provider (NPI-1).
NPI number1669326005
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1669326005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shameika Renee Waller
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2026
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A02427 | KY | Yes |
Practice location
3979 Cross Creek TrlOwensboro, KY 42303-1895
Phone 270-952-7781
Mailing address
3979 Cross Creek TrlOwensboro, KY 42303-1895
Phone 270-952-7781
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Other Physical Therapy Assistant providers in Owensboro, KY
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All 24 Physical Therapy Assistant providers in Owensboro · All 2,565 providers in Owensboro
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