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Individual

MR. SHANE MICHAEL HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
2297 KANSAS AVE SE STE 4, HURON, SD 57350-4274
(605) 354-1546
Mailing address
2297 KANSAS AVE SE STE 4, HURON, SD 57350-4274
(605) 554-0388

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1346
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5835852
SD
Enumeration date
08/15/2006
Last updated
11/02/2020
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