Individual
SHANIA MARIE ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8726 US42, FLORENCE, KY 41042
(859) 301-2663
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009145
KY
2255A2300X
Athletic Trainer
AT1957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042331
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
KY
01
—
AT1957
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
10/18/2021
Last updated
12/27/2024
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