Individual
KELSEY ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
30 BUXTON FARM RD STE 230, STAMFORD, CT 06905-1206
(203) 212-4191
(203) 212-4191
Mailing address
30 BUXTON FARM RD STE 230, STAMFORD, CT 06905-1206
(203) 212-4191
(203) 212-4191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012822
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012822
PT LICENSE
CT
Enumeration date
11/17/2020
Last updated
07/11/2025
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