Individual provider · Type 1 NPI

Tyler Shaw, PTA

Physical Therapy Assistant · Novi, MI

NPI number 1912711441 Active

Practice location

23655 Novi Rd Ste 101
Novi, MI 48375-5442

Call (248) 277-3440 Map

Fax (248) 277-3441

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502008732 (MI)

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 1912711441

Tyler Shaw, PTA's National Provider Identifier is 1912711441, issued on Feb 5, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Novi, MI. The record was last updated on Feb 5, 2025.