Provider Demographics
NPI:1285362517
Name:DAVIS, KINSY (PT, DPT)
Entity type:Individual
Prefix:
First Name:KINSY
Middle Name:
Last Name:DAVIS
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KINSY
Other - Middle Name:
Other - Last Name:SHOFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-1166
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:213 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-1166
Practice Address - Country:US
Practice Address - Phone:270-932-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist