Individual
SHAWN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2628 LEGACY RDG, FLORENCE, KY 41042-8403
(859) 512-7826
Mailing address
2628 LEGACY RDG, FLORENCE, KY 41042-8403
(859) 512-7826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003292
KY
Other
Enumeration date
05/16/2007
Last updated
10/09/2025
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