Individual
DAVID SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 125TH ST, REDFIELD, KS 66769-9529
(162) 021-5530
Mailing address
11808 GRANT ST FL 100, OMAHA, NE 68164-3616
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-05632
KS
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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