Individual
SHELLY M PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996766
BXBS OF SD
—
05
—
5833570
—
SD
Enumeration date
03/16/2006
Last updated
09/08/2008
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