DAYNE F SHAW

SHELLEY, ID
NPI1053162230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: ID  PT-8769)
Enumeration Date2024-03-27
Last Update Date2025-09-03
Business Address
-- DAYNE F SHAW PT, DPT
650 N STATE ST STE 5
SHELLEY, ID 83274-4900
Phone number: 208-428-6079
Mailing Address
-- DAYNE F SHAW PT, DPT
650 N STATE ST STE 5
SHELLEY, ID 83274-4900
Phone number: 208-428-6079
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