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Contact Information

KEIBA L SHAW, PT, EDD
3632 QUEEN PALM DRIVE
TAMPA, FL33619-1154
 Phone: 813-574-5318
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEIBA L SHAW · (Female)

NPI # 1477879997
Status Active
Credentials PT, EDD
Entity Individual
Enumeration date 04/08/2010
Last updated 10/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 10726
  • FL License # PT20924
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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