Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Larue Kwan Shackelford, DPT

Individual provider Physical Therapist · NPI 1760733356

Kimberly Larue Kwan Shackelford, DPT is a Physical Therapist in Sacramento, California. Licensed in California and Texas. Registered with an NPI since 2012.

Licensed in
CA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3601 Marconi Ave
Sacramento, CA 95821-5309
Phone: (916) 481-1300
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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 40045 (CA)
Physical Therapist Taxonomy 225100000X · Licence 1221081 (TX)

Record details

NPI number1760733356
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 24, 2012
Last updated in NPPESMarch 10, 2015

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