Doctor Name: | ANDREW KIRK SHAW |
NPI Number: | 1336596162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 1275418 |
Business Practice Address: | 2309 Virginia Pkwy # 400 Mckinney, TX - 750713505 |
Business Phone Number: | 9725427360 |
Business Fax Number: | 9725427363 |
Mailing Address: | 966 N Garden Ridge Blvd Ste 530, LEWISVILLE |
State: | TX |
Postal Code: | 750772876 |
Phone Number: | 9724206605 |
Fax Number: | 8449659627 |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1275418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |