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

Individual provider Physical Therapist · NPI 1174006209

Shaun Vickery, PT, MPT is a Physical Therapist in Madisonville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

425 Island Ford Rd
Madisonville, KY 42431
Phone: (270) 825-0166
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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 004425 (KY)

Record details

NPI number1174006209
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2018
Last updated in NPPESSeptember 14, 2018

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