Individual
CLAYTON TOWNER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
64 S STAR RD, STAR, ID 83669-5497
(208) 268-0089
(208) 488-4248
Mailing address
337 W IOWA AVENUE, NAMPA, ID 83686
(208) 467-7889
(208) 467-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11751
CO
Other
Enumeration date
07/27/2012
Last updated
10/10/2022
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