Kelly A Shaw, DPT

NPI #1124759154 in Lockport, Illinois

Provider Information

NPI Number: 1124759154
Entity Type: Individual
Name: Kelly A Shaw, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 21, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 1147 E 9TH ST
City: Lockport
State: Illinois
ZIP Code: 60441-3219
Phone: (815) 834-9901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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