Individual
ERICA SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1040
(502) 245-3774
Mailing address
9413 FARMSTEAD LN, LOUISVILLE, KY 40291-3096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007475
KY
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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