Individual provider · Type 1 NPI
Keiba Lynn Shaw, PT, EDD
Geriatric Physical Therapist · Tampa, FL
Practice location
3632 Queen Palm Drive
Tampa, FL 33619-1154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | PT20924 (FL) |
| Orthopedic Physical Therapist | 2251X0800X | 10726 (CO) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
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About NPI 1477879997
Keiba Lynn Shaw, PT, EDD's National Provider Identifier is 1477879997, issued on Apr 8, 2010. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Tampa, FL. The record was last updated on Oct 22, 2011.