Zack Shaw, DPT

NPI #1154848034 in Decatur, Illinois

Provider Information

NPI Number
1154848034
Entity Type
Individual
Name
Zack Shaw, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Aug 23, 2017
Last Updated
Jun 25, 2019

Practice Location

Address
4855-57 EAST 36
ZIP Code
62521
Phone
(217) 864-1264

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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