JAMIE DENISE SHAKE

LOUISVILLE, KY
NPI1710221221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  005246)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mrs. JAMIE DENISE SHAKE PT
3802 KLONDIKE LN
LOUISVILLE, KY 40218-1715
Phone number: 502-452-1579
Mailing Address
Mrs. JAMIE DENISE SHAKE PT
5104 BANNON CROSSINGS DR
LOUISVILLE, KY 40218-4088
Phone number: 502-452-1579
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