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Jason Shaw, MPT, DA

NPI 1598921553 · on the registry since 2008 · sole proprietor

Practice

Address
4542 E 280 N
Rigby, ID 83442
Phone
(208) 538-7382

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-27

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 Idaho