Shannon Gray

NPI #1982142469 in Hebron, Kentucky

Provider Information

NPI Number: 1982142469
Entity Type: Individual
Name: Shannon Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 2200 CONNER RD
City: Hebron
State: Kentucky
ZIP Code: 41048-8142
Phone: (859) 814-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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