Search › Kansas › 103T00000X
Sage Shaw, LMLP
NPI 1801554779 · on the registry since 2021 · sole proprietor
Practice
- Address
- 109 W 2nd St Ste A
Ottawa, KS 66067 - Phone
- (785) 242-2991
- Fax
- (785) 242-4401
- Organisation at this address
- Recovery Services Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-09
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 Kansas