Shane Davis Physical Therapy PC
Shane Davis Physical Therapy PC is a Physical Therapist in Boonville, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13040 State Route 12Boonville, NY 13309-4942
Phone: (315) 358-4028
Fax: (315) 358-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 022935 (NY) |
|---|
Record details
| NPI number | 1679812747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Davis — Physical Therapist · (315) 358-4028 |
| NPI enumerated | February 8, 2013 |
| Last updated in NPPES | June 27, 2025 |
| Certification date | June 27, 2025 |
| Mailing address | 13040 State Route 12, Boonville, NY 13309-4942 |
Other providers in Boonville
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Shane Davis, PT
13040 State Route 12, Boonville, NY 13309-4942 · (315) 358-4028