Individual
JEFF SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
328 S BURNSIDE AVE, GONZALES, LA 70737-3444
(225) 644-7510
(225) 644-2660
Mailing address
11320 INDUSTRIPLEX BOULEVARD, BATON ROUGE, LA 70809
(225) 295-8183
(225) 752-2937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04983
LA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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