| Keith Shaw, PT | |
|
1250 W Whittaker St, Salem, IL 62881-1917 | |
| (618) 548-3769 | |
| Not Available |
| Full Name | Keith Shaw |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1250 W Whittaker St, Salem, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619024361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Shaw, PT Po Box 503861, Saint Louis, MO 63150-0001 Ph: (618) 548-3769 | Keith Shaw, PT 1250 W Whittaker St, Salem, IL 62881-1917 Ph: (618) 548-3769 |
Mrs. Karen Huelsmann, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3769 Fax: 618-548-6512 | |
Mr. Michael Smith, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-241-2128 Fax: 618-241-3848 | |
Ms. Trisha Bass, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-241-2128 Fax: 618-241-3848 |