Search › Illinois › 225100000X
Zack Shaw, DPT
NPI 1154848034 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4855-57 East 36
Decatur, IL 62521 - Phone
- (217) 864-1264
- Fax
- (217) 864-1828
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois