Search › Michigan › 225100000X
Jason Shallow, MPT
NPI 1396096327 · on the registry since 2012
Practice
- Address
- 50912 Gratiot Ave
Chesterfield, MI 48051 - Phone
- (586) 200-6603
- Fax
- (586) 200-6604
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-06
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 Michigan