IndividualActive
Alexander Shaw
NPI 1457784795 · Physical Therapist · Glen Allen, VA
Provider details
- NPI number
- 1457784795
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2305208156 (VA)
Mailing address
3920 Springfield Rd
Glen Allen, VA 23060-4119
Registry dates
- Enumerated
- 2013-08-09
- Last updated
- 2013-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.