Individual
BRET SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1325 ANDERSON AVE, MANHATTAN, KS 66502-4002
(785) 320-2318
(785) 320-2329
Mailing address
1325 ANDERSON AVE, MANHATTAN, KS 66502-4002
(785) 320-2318
(785) 320-2329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05582
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2013
Last updated
02/14/2014
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