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SHAWNA LEA CLEGG PT, DPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1265741730
Provider Type
Individual Provider (NPI-1)
Credentials
PT, DPT
Status
Active

Contact & Location

Address
1160 E POLSTON AVE STE B, POST FALLS, ID, 838546045
Phone
(208) 262-0156
Fax
(208) 262-0160

Specialties & Taxonomies

Physical Therapist License: AZ #9092
Physical Therapist Primary License: ID #3836

All Addresses

LOCATION

1160 E POLSTON AVE STE B

POST FALLS, ID, 838546045

(208) 262-0156

MAILING

1590 E POLSTON AVE STE B

POST FALLS, ID, 838545218

(208) 777-4242