Lynde Shaw, PTA

NPI #1861968687 in Elsmere, Kentucky

Provider Information

NPI Number: 1861968687
Entity Type: Individual
Name: Lynde Shaw, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 18, 2018
Last Updated: Oct 18, 2018

Practice Location

Address: 3802 TURKEYFOOT RD
City: Elsmere
State: Kentucky
ZIP Code: 41018-2838
Phone: (859) 342-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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