Individual
MR. SHAYNE KIRK FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1321 RING RD, SUITE 103, ELIZABETHTOWN, KY 42701-8940
(270) 986-7432
(270) 986-7201
Mailing address
1321 RING RD, SUITE 103, ELIZABETHTOWN, KY 42701-8940
(270) 986-7432
(270) 986-7201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002058
KY
Other
Enumeration date
01/24/2007
Last updated
02/10/2017
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