Camille Basham
Individual provider Active NPI Physical Therapist · Shelbyville, KY
NPI 1891249397 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1891249397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006906 (KY)
- Practice address
- 90 Howard Dr
Shelbyville, KY 40065-8138 - Phone
- (502) 633-1007
- Fax
- (502) 805-1511
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006906 | KY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006906 | KY | Yes |
Addresses
Primary practice location
90 Howard Dr
Shelbyville, KY 40065-8138
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other names
- Camille Pfetzer
Other providers in Shelbyville, KY
- Baptist Health Medical Group Inc
- Jean R Barlow
- Rachel Barnes
- Anna Elizabeth Barrickman
- Julie M Barry
- Jacqueline Khristen Basham
- Alexa Rae Baskin
- Anna Kate Bastin
- Elaine M Baunach-Peers
- Cindy Lynn Bayes
All providers in Shelbyville, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.