Keith Shaw, PT

NPI #1619024361 in Salem, Illinois

Provider Information

NPI Number
1619024361
Entity Type
Individual
Name
Keith Shaw, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PT
Enumeration Date
Jan 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1250 W WHITTAKER ST
City
Salem
ZIP Code
62881-1917
Phone
(618) 548-3769

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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