MRS. Tiffany Shaw, LAT, C.PH.T

NPI #1689027039 in Azle, Texas

Provider Information

NPI Number
1689027039
Entity Type
Individual
Name
MRS. Tiffany Shaw, LAT, C.PH.T
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, C.PH.T
Enumeration Date
Jul 21, 2016
Last Updated
Jul 21, 2016

Practice Location

Address
1200 BOYD RD
City
Azle
State
Texas
ZIP Code
76020-2522
Phone
(817) 444-5555

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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