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

Mrs. Shameika Renee Waller, PTA

Individual provider Physical Therapy Assistant · NPI 1669326005

Mrs. Shameika Renee Waller, PTA is a Physical Therapy Assistant in Owensboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3979 Cross Creek Trl
Owensboro, KY 42303-1895
Phone: (270) 952-7781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A02427 (KY)

Record details

NPI number1669326005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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