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Justin Shaw, LAT, ATC

NPI 1376045054 · on the registry since 2018

Practice

Address
368 N Greenville Ave
Allen, TX 75002
Phone
(972) 396-6975

Additional practice sites

  • 701 S Nedderman Dr, Arlington, TX

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-14

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 Texas