Leslie M Shaw, is a
Massage Therapist based in Edgewood, Kentucky. Leslie M Shaw is licensed to practice in Kentucky (license number 107614) and her current practice location is
3005 Dixie Hwy Ste 20, Edgewood, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(407) 212-5814.
NPI number for Leslie M Shaw is 1093347916 and her current mailing address is 3005 Dixie Hwy Ste 20, Edgewood, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093347916.
Healthcare Provider's Profile
Full Name | Leslie M Shaw |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 3005 Dixie Hwy Ste 20, Edgewood, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093347916
- Provider Enumeration Date: 02/08/2020
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Leslie M Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093347916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 107614 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie M Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leslie M Shaw, 3005 Dixie Hwy Ste 20, Edgewood, KY 41017-2380 Ph: (407) 212-5814 | Leslie M Shaw, 3005 Dixie Hwy Ste 20, Edgewood, KY 41017-2380 Ph: (407) 212-5814 |
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