Individual
SHELLY M HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3631 DECOURSEY AVE, COVINGTON, KY 41015-1436
(859) 413-2273
Mailing address
409 W 22ND ST # 2, COVINGTON, KY 41014-1605
(859) 777-5186
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
KY
Other
Enumeration date
04/24/2026
Last updated
04/27/2026
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