National Provider Identifier
Mackensi Shaw, DPT
Mackensi Shaw, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Geneva, NY and a listed phone number of (315) 789-0841.
Profile Overview
- NPI
- 1205505922
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 07, 2021
- Last Updated
- December 07, 2023
Practice Location
- 283 W North St
- Geneva, NY 14456-1530
Phone: (315) 789-0841
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1205505922
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Mackensi
- Credential
- DPT
- Provider Other Last Name
- Riker
- Provider Other First Name
- Mackensi
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 283 W North St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1530
- Mailing Country
- US
- Mailing Phone
- (315) 789-0841
- Practice Street Address
- 283 W North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1530
- Practice Country
- US
- Practice Phone
- (315) 789-0841
- Enumeration Date
- September 07, 2021
- Last Updated
- December 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)