Individual
SHAWNA LEA CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1160 E POLSTON AVE STE B, POST FALLS, ID 83854-6045
(208) 262-0156
(208) 262-0160
Mailing address
1590 E POLSTON AVE, STE B, POST FALLS, ID 83854-5218
(208) 777-4242
(208) 777-4020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3836
ID
225100000X
Physical Therapist
9092
AZ
Other
Enumeration date
10/01/2010
Last updated
06/12/2020
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