Linda Kay Shaw, B. S.

Individual provider Active NPI Rehabilitation Practitioner · Parma, MI

NPI 1669911004 · NPPES record last updated Feb 17, 2017

Key facts

NPI
1669911004
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
115 John St
Parma, MI 49269-9538
Phone
(517) 358-3256
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

115 John St
Parma, MI 49269-9538

Mailing address

115 John St
Parma, MI 49269-9538
Phone (517) 358-3256

Other names

  • Linda Kay Slade Former name

Other providers in Parma, MI

All providers in Parma, MI · Rehabilitation Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.