Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON L SHAW, P.T.
ActiveJASON L SHAW, P.T. is a Physical Therapy Assistant healthcare provider located in MARIONVILLE, Missouri. NPI 1164669552 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MARIONVILLE, MO
Registration Details
- NPI Number
- 1164669552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2009 (17.593215212155 yrs)
- Last Updated
- Jan 9, 2009
- License
-
114021 (MO)
Practice Information
- Address
-
205 S COLLEGE AVEMARIONVILLE, MO, 657059340Browse MO providers · Browse ZIP 65705
- Phone
- 4174637261
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.