Individual
SHAWNA DANIELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3502 DIXIE HWY, LOUISVILLE, KY 40216-5069
(502) 447-4700
(502) 447-0057
Mailing address
3502 DIXIE HWY, LOUISVILLE, KY 40216-5069
(502) 447-4700
(502) 447-0057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2005012999
MO
111N00000X
Chiropractor
Primary
5063
KY
Other
Enumeration date
05/04/2007
Last updated
08/08/2007
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