Organization
PHILANTHROPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SHELTON DPT (OWNER)
(859) 559-7576
Entity
Organization
Contact information
Practice address
107 FRAZIER CT STE 2C, GEORGETOWN, KY 40324-9026
(859) 559-7576
Mailing address
107 FRAZIER CT, GEORGETOWN, KY 40324-8973
(859) 559-7576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
12/11/2025
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