Corissa Dawn Shaw, PTA
NPI #1821468646 in Hutchinson, Kansas
Provider Information
- NPI Number
- 1821468646
- Entity Type
- Individual
- Name
- Corissa Dawn Shaw, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 414 E 8TH AVE
- City
- Hutchinson
- State
- Kansas
- ZIP Code
- 67501-1426
- Phone
- (620) 663-5932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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