Individual
STEPHEN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
490 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2047
(270) 352-1061
Mailing address
3705 TERRACE HILL DR APT 200, LOUISVILLE, KY 40245-5859
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
008456
KY
225100000X
Physical Therapist
Primary
008456
KY
Other
Enumeration date
12/21/2021
Last updated
11/09/2022
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