Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN VICKERY, PT, MPT
ActiveSHAUN VICKERY, PT, MPT is a Physical Therapy Assistant healthcare provider located in MADISONVILLE, Kentucky. NPI 1174006209 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MADISONVILLE, KY
Registration Details
- NPI Number
- 1174006209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2018 (7.9190550139083 yrs)
- Last Updated
- Sep 14, 2018
- License
-
004425 (KY)
Practice Information
- Address
-
425 ISLAND FORD ROADMADISONVILLE, KY, 42431Browse KY providers · Browse ZIP 42431
- Phone
- 2708250166
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MADISONVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| FORREST L (BEN) WAIDE | PT, OCS, CHT | 1053300277 |
| TORE STUEN | P.T. | 1205888211 |
| TAMMY W BARTON | P.T. | 1558479071 |
| STEPHANIE L CRAWFORD | P.T. | 1750580098 |
| JAN WILLIAM DURST | — | 1477743078 |
| MARY SELENA PHAUP | — | 1558551150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.