Shadduck - Physical Therapy Works INC

NPI #1114678794 in Los Altos, California

Provider Information

NPI Number: 1114678794
Entity Type: Organization
Organization Name: Shadduck - Physical Therapy Works INC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 14, 2022
Last Updated: Jan 14, 2022

Practice Location

Address: 794 ALTOS OAKS DR
City: Los Altos
State: California
ZIP Code: 94024-5401
Phone: (650) 947-9646

Authorized Official

Name: MRS. KRISTIN SHADDUCK, PT
Title: PHYSICAL THERAPIST, OWNER
Phone: (650) 947-9646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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