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

Shawnery Davidson, PTA

Individual provider Physical Therapy Assistant · NPI 1801244710

Shawnery Davidson, PTA is a Physical Therapy Assistant in Granite City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
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

5408 Maryville Rd
Granite City, IL 62040-2611
Phone: (618) 581-8328
Fax: (708) 479-2112
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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 160002824 (IL)

Record details

NPI number1801244710
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 1, 2016
Mailing address5408 Maryville Rd, Granite City, IL 62040-2611

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