Shaun Vickery, PT, MPT
NPI #1174006209 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1174006209
- Entity Type
- Individual
- Name
- Shaun Vickery, PT, MPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, MPT
- Enumeration Date
- Sep 14, 2018
- Last Updated
- Sep 14, 2018
Practice Location
- Address
- 425 ISLAND FORD ROAD
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431
- Phone
- (270) 825-0166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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