Individual
DANIELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3001 W HIGHWAY 146, LA GRANGE, KY 40031-9123
(502) 222-9441
Mailing address
3208 MILLAN TRL, SELLERSBURG, IN 47172-8406
(502) 222-9441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004635A
IN
225200000X
Physical Therapy Assistant
Primary
A02773
KY
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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