Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason L Shaw, PT

Individual provider Physical Therapist · NPI 1164669552

Jason L Shaw, PT is a Physical Therapist in Marionville, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

205 S College Ave
Marionville, MO 65705-9340
Phone: (417) 463-7261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 114021 (MO)

Record details

NPI number1164669552
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 9, 2009
Mailing address205 S College Ave, Marionville, MO 65705-9340

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