Vickery, Shaun

Vickery, Shaun is an individual health care provider with primary practice located at 425 Island Ford Road , Madisonville KY 42431. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vickery, Shaun can be contacted via phone (270) 825-0166.

Contact Information

Primary practice address
425 Island Ford Road Madisonville KY 42431
Phone: (270) 825-0166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004425 Kentucky

Profile Details

NPI number 1174006209
LBN Legal business name Vickery, Shaun
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2018
Last updated Sep 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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