DAYNE SHAW

IDAHO FALLS, ID
NPI1053162230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: ID  PT-8769)
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
DAYNE SHAW PT, DPT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
DAYNE SHAW PT, DPT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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