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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON SHALLOW, MPT

Active

JASON SHALLOW, MPT is a Physical Therapy Assistant healthcare provider located in CHESTERFIELD, Michigan. NPI 1396096327 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHESTERFIELD, MI

Registration Details

NPI Number
1396096327
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2012 (13.861496298722 yrs)
Last Updated
Apr 6, 2018
License
5501010038 (MI)

Practice Information

Address
50912 GRATIOT AVE
CHESTERFIELD, MI, 480513134
Browse MI providers · Browse ZIP 48051
Phone
5862006603
Fax
5862006604
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CHESTERFIELD, MI

Name Credential NPI
MONIKA KHANNA P.T. 1043328131
AMY MARGARET FAUSONE PT 1285726943
MRS. RACHELLE F SHIPPY M.P.T. 1679799985
MINERVA TERO ARIDIDON PHYSICAL THERAPIST 1841495389
MRS. CONNIE M FULLER PT 1629268800
MRS. DIANN E INCH PT 1649460825
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.