Kelly Shaw DPT

NPI 1740431915 - Physical Therapist - 2251G0304X

NPI Details
NPI 1740431915
Gender Female
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
200 2ND AVE
KINGSTON PA, 18704-5722, US
Phone (570) 288-9315
Fax
Business Location
200 2ND AVE
KINGSTON PA, 18704-5722, US
Phone (570) 288-9315
Fax
Toxanomy
Taxonomy Code 2251G0304X
License State Pennsylvania
License Number PT011691L
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According to our database, Kelly Shaw DPT NPI is 1740431915, taxonomy code is 2251G0304X and license number is PT011691L, license state is located at Pennsylvania. Kelly Shaw DPT physically located at 200 2nd Ave, Kingston PA, 18704-5722. NPI Number Kelly Shaw DPT has the Individual type.

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1740431915 NPI number is provided on an as is basis without warranty of any kind. 1740431915 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Shaw DPT are for informational purposes only.