Individual
JUSTIN TYLER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
368 N GREENVILLE AVE, ALLEN, TX 75002-2232
(972) 396-6975
Mailing address
6802 AMESBURY LN, ROWLETT, TX 75089-3803
(972) 922-4991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7790
TX
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/08/2018
Last updated
10/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us