Individual
KISHAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Mailing address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09938
LA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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