Individual
LYNDE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3802 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-0200
Mailing address
3 FRONT ST, SPARTANBURG, SC 29301-1498
(614) 915-2112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03890
KY
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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