NPI 1053162230

Dayne F Shaw, PTDPT

Practitioner Pediatric Physical Therapist Shelley, ID

Practice location

Address: 650 N State St STE 5, Shelley, ID 83274-4900
Phone: (208) 428-6079

Registered specialties

Pediatric Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X Licence PT-8769 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1053162230
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2024
Record last updated: 3 Sep 2025

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.