Individual provider · Type 1 NPI
Shameika Renee Waller, PTA
Physical Therapy Assistant · Owensboro, KY
Practice location
3979 Cross Creek Trl
Owensboro, KY 42303-1895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A02427 (KY) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1669326005
Shameika Renee Waller, PTA's National Provider Identifier is 1669326005, issued on Feb 23, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Owensboro, KY. The record was last updated on Feb 23, 2026.