Individual provider · Type 1 NPI

Leeann Kristin Shaw

Physical Therapy Assistant · Pocatello, ID

NPI number 1326580663 Active

Practice location

1957 Alvin Ricken Dr
Pocatello, ID 83201-2727

Call (208) 235-7800 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-4587 (ID)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1326580663

Leeann Kristin Shaw's National Provider Identifier is 1326580663, issued on Nov 16, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pocatello, ID. The record was last updated on Nov 16, 2016.