SearchIdaho225100000X

Daniel Shaw, PT

NPI 1649260654 · on the registry since 2005

Practice

Address
290 W Georgia Ave
Nampa, ID 83686
Phone
(208) 468-5970
Fax
(208) 463-3044
Organisation at this address
Saltzer Medical Group Pa
St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

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
2010-02-08

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