Doctor Name: | MS. DESIREE M SHAW |
NPI Number: | 1497758403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT |
License Number: | 3711 |
Business Practice Address: | 4674 Snow Mesa Dr Suite 140 Fort Collins, CO - 805288615 |
Business Phone Number: | 9702663850 |
Business Fax Number: | 9702663855 |
Mailing Address: | 4674 Snow Mesa Dr, Suite 140 FORT COLLINS |
State: | CO |
Postal Code: | 805288615 |
Phone Number: | 9702663850 |
Fax Number: | 9702663855 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3711 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
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 |