Individual
SHAWN MOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 LAWSON DR STE 4, GEORGETOWN, KY 40324-9696
(502) 642-5400
(502) 642-5411
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009477
KY
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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