Mackensi Shaw, DPT

NPI #1205505922 in Geneva, New York

Provider Information

NPI Number: 1205505922
Entity Type: Individual
Name: Mackensi Shaw, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 7, 2021
Last Updated: Dec 7, 2023

Practice Location

Address: 283 W NORTH ST
City: Geneva
State: New York
ZIP Code: 14456-1530
Phone: (315) 789-0841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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