Michael Shaw, PT

NPI #1104951169 in Bettendorf, Iowa

Provider Information

NPI Number: 1104951169
Entity Type: Individual
Name: Michael Shaw, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2300 53RD AVE
City: Bettendorf
State: Iowa
ZIP Code: 52722-7547
Phone: (563) 332-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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