IndividualActive
Keiba Shaw, PT, EDD
NPI 1477879997 · Geriatric Physical Therapist · Tampa, FL
Provider details
- NPI number
- 1477879997
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, EDD
- Sex
- Female
- Sole proprietor
- No
- License
- PT20924 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3632 Queen Palm Drive
Tampa, FL 33619-1154
Phone: (813) 574-5318
Approximate (ZIP-level) locationGet directions
Mailing address
3632 Queen Palm Drive
Tampa, FL 33619-2047
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2011-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.