Shannon Gray
Physical Therapy Assistant in Hebron, KY. Individual provider (NPI-1).
NPI number1982142469
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1982142469
- Entity type
- Individual (NPI-1)
- Name
- Shannon Gray
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2017
- Last updated
- Feb 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A01652 | KY | Yes |
Practice location
2200 Conner RdHebron, KY 41048-8142
Phone 859-814-0022
Mailing address
7642 Plow Share CtFlorence, KY 41042-8066
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