SHAUN VICKERY

MADISONVILLE, KY
NPI1174006209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  004425)
Enumeration Date2018-09-14
Last Update Date2018-09-14
Business Address
SHAUN VICKERY PT, MPT
425 ISLAND FORD ROAD
MADISONVILLE, KY 42431
Phone number: 270-825-0166
Mailing Address
SHAUN VICKERY PT, MPT
106 GENEVIEVE DR
MADISONVILLE, KY 42431-5806
Phone number: 270-836-6559