Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA M SHAW, P.T.
ActiveMRS. LISA M SHAW, P.T. is a Physical Therapy Assistant healthcare provider located in STILLMAN VALLEY, Illinois. NPI 1245453356 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · STILLMAN VALLEY, IL
Registration Details
- NPI Number
- 1245453356
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.375878463091 yrs)
- Last Updated
- Jun 11, 2012
- License
-
070.009273 (IL)
Practice Information
- Address
-
9729 N WHITE TAIL TRLSTILLMAN VALLEY, IL, 610849401Browse IL providers · Browse ZIP 61084
- Phone
- 8152181589
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in STILLMAN VALLEY, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA MARIE GRAMER | P.T. | 1881854479 |
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.