Individual
SHAUNA JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299
(800) 335-1060
Mailing address
5402 EELGRASS CT APT 4, LOUISVILLE, KY 40258-5431
(502) 494-7125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02205
KY
Other
Enumeration date
12/30/2010
Last updated
01/28/2019
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