Individual
DR. SHAWN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1925 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
(502) 267-4851
(502) 267-4852
Mailing address
1925 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
(502) 267-4851
(502) 267-4852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0012079
FL
225100000X
Physical Therapist
Primary
005085
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005085
KY STATE BOARD OF PT
KY
Enumeration date
05/31/2007
Last updated
03/24/2008
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