Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHIRO IWAE, PT
Active Sole ProprietorMR. SHIRO IWAE, PT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1407031750 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSONVILLE BEACH, FL
Registration Details
- NPI Number
- 1407031750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2008 (18.600484953736 yrs)
- Last Updated
- Jan 7, 2008
- License
-
PT10623 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 PENMAN RDSUITE CJACKSONVILLE BEACH, FL, 32250Browse FL providers · Browse ZIP 32250
- Phone
- 9042419500
- Fax
- 9042412009
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSONVILLE BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY F. BURKHART | P.T. | 1235136342 |
| JENNY R DONACHIE | PT | 1578539177 |
| PATRICIA JEAN GROSS | P.T. | 1063526200 |
| CHRISTINA MORGAN | — | 1164531729 |
| LORI HAMANN | P.T. | 1912092776 |
| MR. BRIAN JOSEPH BORDEN | P.T. | 1427119437 |
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.