Organization
CHEWELAH SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH V SHAW RPT (PHYSICAL THERAPIST)
(509) 685-6800
Entity
Organization
Contact information
Practice address
405 E LINCOLN AVE, CHEWELAH, WA 99109-8955
(509) 685-6800
(509) 935-4860
Mailing address
405 E LINCOLN AVE, PO BOX 7, CHEWELAH, WA 99109-8955
(509) 685-6800
(509) 935-4860
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
PT 00002069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 00002069
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/29/2013
Last updated
01/29/2013
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