Individual provider · Type 1 NPI

Dayne F. Shaw, PT, DPT

Pediatric Physical Therapist · Shelley, ID

NPI number 1053162230 Active

Practice location

650 N State St Ste 5
Shelley, ID 83274-4900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT-8769 (ID)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

5 other providers at this address

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About NPI 1053162230

Dayne F. Shaw, PT, DPT's National Provider Identifier is 1053162230, issued on Mar 27, 2024. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Shelley, ID. The record was last updated on Sep 3, 2025.