Shane Davis Physical Therapy PC

NPI #1679812747 in Boonville, New York

Provider Information

NPI Number: 1679812747
Entity Type: Organization
Organization Name: Shane Davis Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 8, 2013
Last Updated: Jun 27, 2025

Practice Location

Address: 13040 STATE ROUTE 12
City: Boonville
State: New York
ZIP Code: 13309-4942
Phone: (315) 358-4028

Authorized Official

Name: DR. SHANE DAVIS, DPT
Title: PHYSICAL THERAPIST
Phone: (315) 358-4028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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