Individual
DR. JOHN SHEA
Active
Individual
DR. JOHN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008036
KY
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008036
KENTUCKY PHYSICAL THERAPY LICENSE NUMBER
KY
Enumeration date
08/07/2020
Last updated
08/07/2020
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