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

Leeann Kristin Shaw

Individual provider Physical Therapy Assistant · NPI 1326580663

Leeann Kristin Shaw is a Physical Therapy Assistant in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016

Practice location Address checks out

1957 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 235-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-4587 (ID)

Record details

NPI number1326580663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016

Other providers in Pocatello