Individual
KRISTA SHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13151 MAGISTERIAL DR, SUITE 200, LOUISVILLE, KY 40223-4103
(502) 585-4571
(502) 568-1873
Mailing address
13151 MAGISTERIAL DR, SUITE 200, LOUISVILLE, KY 40223-4103
(502) 585-4571
(502) 568-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004752
KY
Other
Enumeration date
05/14/2008
Last updated
01/08/2014
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