Kelly Riley Shaw PT

NPI 1134161086 - Physical Therapist - 2251P0200X

NPI Details
NPI 1134161086
Gender Female
Enumeration Date 06/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
705 17TH ST
SUITE 407
COLUMBUS GA, 31901-3500, US
Phone (706) 321-0930
Fax
Business Location
1030 GREGORY GLEN RD
OPELIKA AL, 36801-9417, US
Phone (334) 826-3353
Fax
Toxanomy
Taxonomy Code 2251P0200X
License State Alabama
License Number PTH1172
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According to our database, Mrs. Kelly Riley Shaw PT NPI is 1134161086, taxonomy code is 2251P0200X and license number is PTH1172, license state is located at Alabama. Kelly Riley Shaw PT physically located at 705 17th St, Columbus GA, 31901-3500. NPI Number Kelly Riley Shaw PT has the Individual type.

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1134161086 NPI number is provided on an as is basis without warranty of any kind. 1134161086 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Riley Shaw PT are for informational purposes only.