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Contact Information

ZACK SHAW, DPT
4855-57 EAST 36
DECATUR, IL62521
 Phone: 217-864-1264
 Fax: 217-864-1828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ZACK SHAW · (Male)

NPI Number 1154848034
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/23/2017
Last updated 06/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070023183
  • WI License # 14709
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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