Individual
DR. JOHN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2624 RING RD # 101, ELIZABETHTOWN, KY 42701-9118
(270) 900-4052
Mailing address
1731 NEWBURG RD, LOUISVILLE, KY 40205-1225
(480) 298-3356
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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