Organization
SHAW'S PROSTHETICS PLUS, INC
Active
Other names
SHAW'S PROSTHETIC PLUS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE SHAW CPO, FAAOP, BOCOP (PRESIDENT OWNER)
(270) 684-7672
Entity
Organization
Contact information
Practice address
1019 OLD HARTFORD RD., OWENSBORO, KY 42303
(270) 684-7672
(270) 684-7094
Mailing address
1019 OLD HARTFORD RD., OWENSBORO, KY 42303
(270) 684-7672
(270) 684-7094
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90460304
—
KY
Enumeration date
01/09/2006
Last updated
07/11/2007
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