Provider Demographics
NPI:1336439504
Name:SHAMEY, AUBREY MARIE (DPT)
Entity Type:Individual
Prefix:MS
First Name:AUBREY
Middle Name:MARIE
Last Name:SHAMEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 RADIO DR STE 220
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9476
Mailing Address - Country:US
Mailing Address - Phone:214-300-8544
Mailing Address - Fax:
Practice Address - Street 1:1625 RADIO DR STE 220
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9476
Practice Address - Country:US
Practice Address - Phone:651-241-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist