SearchIllinois225100000X

Lisa Shaw, P.T

NPI 1245453356 · on the registry since 2007

Practice

Address
9729 N White Tail Trl
Stillman Valley, IL 61084
Phone
(815) 218-1589

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois