Individual
MR. JAMES PETER SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22818 OLD US 20, ELKHART, IN 46516-9150
(574) 389-1231
(574) 389-1232
Mailing address
101 W EST SYCAMORE ST, PO BOX 602, WAKARUSA, IN 46573
(574) 862-3128
(574) 862-3128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05004152A
PHYSICAL THERAPY
IN
Enumeration date
04/18/2007
Last updated
07/08/2007
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