Jason Shallow, MPT
NPI #1396096327 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1396096327
- Entity Type
- Individual
- Name
- Jason Shallow, MPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Oct 1, 2012
- Last Updated
- Apr 6, 2018
Practice Location
- Address
- 50912 GRATIOT AVE
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48051-3134
- Phone
- (586) 200-6603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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