Individual
MRS. SHAMEIKA RENEE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3979 CROSS CREEK TRL, OWENSBORO, KY 42303-1895
(270) 952-7781
Mailing address
3979 CROSS CREEK TRL, OWENSBORO, KY 42303-1895
(270) 952-7781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02427
KY
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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