Mrs. Kelly Riley Shaw
Physical Therapist - Pediatrics
705 17th St Suite 407
Columbus
, Georgia 31901-3500
Mrs. Kelly Riley Shaw
Physical Therapist - Pediatrics
705 17th St Suite 407
Columbus
, Georgia 31901-3500
(334) 826-3353
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kelly Riley Shaw
- 1030 Gregory Glen Rd
- Opelika, AL
- Zip : 36801-9417
- Phone : (334) 826-3353
Second Address
- Mrs. Kelly Riley Shaw
- 705 17th St Suite 407
- Columbus, GA
- Zip : 31901-3500
- Phone : (706) 321-0930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 4701 | GA |
| N | 2251P0200X | Physical Therapist - Pediatrics | PTH1172 | AL |
National Provider Identifier
| NPI | 1134161086 |
|---|---|
| Provider Name | Mrs. Kelly Riley Shaw |
| First Address | Opelika, AL 36801-9417 |
| Second Address | Columbus, GA 31901-3500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.