Individual
LINDA MICHELLE SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9700 STONESTREET RD, LOUISIVILLE, KY 40272
(502) 995-2415
Mailing address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002284
KY
Other
Enumeration date
09/26/2008
Last updated
03/22/2012
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