Individual
KASEY JEAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6211 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3175
(210) 531-0569
Mailing address
5358 CHESTNUT VIEW DR, SAN ANTONIO, TX 78247-4692
(210) 452-6129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2094610
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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