MRS. Kristin Tyse Shadduck, PT

NPI #1255348462 in Los Altos, California

Provider Information

NPI Number: 1255348462
Entity Type: Individual
Name: MRS. Kristin Tyse Shadduck, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 1, 2006
Last Updated: Mar 14, 2023

Practice Location

Address: 794 ALTOS OAKS DR
City: Los Altos
State: California
ZIP Code: 94024-6013
Phone: (650) 947-9646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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