NPI 1033243373

Anita M Shaw, PTA

Practitioner Physical Therapy Assistant Saint Paul, MN

Practice location

Address: 640 Jackson St, Saint Paul, MN 55101-2502
Phone: (651) 254-3071
Mailing address: 287 Demar Ave, Shoreview, MN 55126-2354

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 744 (ND)

Other Physical Therapy Assistant providers in Minnesota →

Registry record

NPI: 1033243373
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.